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Case Reports
September 1935

SEPTICEMIA DUE TO ESCHERICHIA ACIDI-LACTICI (BACILLUS ACIDI-LACTICI) IN A NEW-BORN INFANT: REPORT OF A CASE WITH NECROPSY

Author Affiliations

NEW YORK
From the Babies Hospital and the Department of Diseases of Children, College of Physicians and Surgeons, Columbia University

Am J Dis Child. 1935;50(3):693-698. doi:10.1001/archpedi.1935.01970090123012
Abstract

Three cases of meningitis in new-born infants caused by Bacillus acidi-lactici have been reported by Greenthal,1 Sherman2 and Pasachoff.3 None of these observers mentioned whether the infants had a positive blood culture. Ray4 reported the case of a man, aged 55, who had a retroperitoneal abscess, mediastinitis, pleurisy and pneumonia. A blood culture showed B. acidi-lactici, and a spinal fluid culture showed the same organism on two occasions.

Dickar5 reported two cases of endocarditis due to B. acidi-lactici. One patient, a man of 54, had a prostatic abscess, which was incised and drained. Later subacute bacterial endocarditis developed. At autopsy a pure culture of B. acidi-lactici was recovered from the blood of the heart, and evidences of metastases due to bacteremia were shown in the myocardium, pancreas, liver, kidneys, testes, brain and meninges. Dickar's second patient, a woman of 63, was admitted to the hospital

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