Occasionally there is described a clinical picture more or less closely resembling typhoid fever which is found to be due to some organism other than the bacillus of Eberth. According to Oettinger and Fiessinger,2 these cases of septicemia are perhaps most frequently caused by some member of the diplococcus group. Besides the pneumococcus, the gonococcus, meningococcus, enterococcus and the Micrococcus catarrhalis have each been isolated from the blood in such cases. These authors have twice found a diplococcus which differs from any of the better known varieties, having characteristics which place it between the enterococcus and the Micrococcus catarrhalis. Once it was in pure culture and in the other instances was associated with a tuberculous infection which proved rapidly fatal. A blood infection with one form of diplococcus or another is said to be not infrequent in rapidly progressive cases of tuberculosis. Indeed it is sometimes difficult, as in
DIPLOCOCCUS SEPTICEMIA SIMULATING TYPHOID.. JAMA. 1907;XLIX(21):1779–1780. doi:10.1001/jama.1907.02530210051011
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