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March 1977

Bacillus cereus Osteomyelitis

Arch Intern Med. 1977;137(3):401-402. doi:10.1001/archinte.1977.03630150095032

To the Editor.—  While organisms of the genus Bacillus, with the exception of anthracis, are considered rare causes of human disease, they have been implicated in episodes of food poisoning in many European countries. But when isolated from clinical specimens, even blood cultures, they have been considered to be either saprophytes or contaminants. However, as described by Farrar1 and Ihde and Armstrong,2 under certain circumstances both B subtilis and B cereus may be important organisms in human disease. We report a case of verified B cereus osteomyelitis in a patient with sickle cell-thalassemia anemia.

Report of a Case.—  A 43-year-old black man was admitted to the New York Hospital for evaluation of fever, low back pain, and a right lower lobe infiltrate. His past history included sickle cell-thalassemia anemia, heroin addiction, alcohol abuse, hepatitis, and multiple pulmonary emboli. He was well, however, until eight days prior to admission,

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