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To the Editor:—
In the article "Unusual Gas Bacillus Infections Including Necrotic Enteritis" by Jarkowski and Wolf (JAMA181:845 [Sept. 8] 1962) there is this sentence: "The association of Clostridium perfrigens (Welsh's [sic!] bacillus) with hemorrhagic necrosis of the intestine has been referred to in the past as `darmbrand,' which means `fire in the bowel.' "At present, as well as "in the past," "Darmbrand" means "gangrene of the bowel." The medical meaning of "Brand" is "gangrene" (Wildhagen-Heraucourt German-English Dictionary, 1953). Von Gierke (Aschoff's Pathology, 6th ed., pp. 377 and 378, 1923) describes "Brand" as one form of necrosis, and gives "Gangrän" (gangrene) as a synonym: "We speak of 'Brand' when the devitalized parts undergo changes because of contact with the environment and the brown or black colors, due to altered blood pigments and decomposition, create a resemblance to burned tissue." Von Gierke notes that "feuchter, stinkender Brand" (moist, putrid
Roberg NB. Darmbrand. JAMA. 1962;182(13):1341. doi:10.1001/jama.1962.03050520039015
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