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August 1980

Bacillus cereus Bacteremia and Hemolytic Anemia in a Patient With Hemoglobin SC Disease

Author Affiliations

From the Department of Medicine (Drs Rodgers and Martin), Baylor College of Medicine (Mr Barrera), and the Infectious Diseases Section, Ben Taub General Hospital (Dr Martin), Houston. Dr Rodgers is now with the University of California Cancer Research Institute, San Francisco.

Arch Intern Med. 1980;140(8):1103-1104. doi:10.1001/archinte.1980.00330190115036

• A patient with hemoglobin SC disease and cholelithiasis was found to have Bacillus cereus bacteremia. Hemolytic anemia developed, for which common causes of hemolysis were excluded, suggesting a relationship with the bacteremia. Following in vitro incubation, type O erythrocytes were hemolyzed by the culture, but not by a bacteria-free filtrate. This case confirms the association between sickle cell disorders and cholelithiasis with B cereus infections. In addition, it provides evidence for in vivo hemolysis with B cereus bacteremia, an organism not previously associated with hemolytic anemia.

(Arch Intern Med 140:1103-1104, 1980)