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Article
January 14, 1933

BACILLUS WELCHII INFECTION

Author Affiliations

Charlotte, N. C.

JAMA. 1933;100(2):114-115. doi:10.1001/jama.1933.27420020002010a

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Abstract

Infection with B. welchii as the causative organism is of infrequent occurrence in civil practice. Such cases as are seen are generally those in which marked tissue damage has taken place and in which the wound has been grossly contaminated, as in street accidents and in gunshot wounds. The case reported here is of unusual interest because of the probable portal of entry of the infection and on account of the fact that it developed in apparently normal muscle tissue.

A. J., a white man, aged 46, seen, April 30, 1932, complained chiefly of hemorrhoids. His family and past history presented nothing of importance except for the history of mild alcoholism during the past few weeks. The patient was well developed, rather obese, and somewhat under the influence of alcohol. Examination of the chest and abdomen presented no abnormalities. Rectal examination showed a large cluster of protruding externo-internal hemorrhoids with

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