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August 1980

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

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)