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Further Observations on Gram-Negative Bacilli

WILLIAM J. MARTIN, M.D.; MARTIN C. McHENRY, M.D.; WILLIAM E. WELLMAN, M.D.; ARCHIE H. BAGGENSTOSS, M.D.

Arch Intern Med. 1962;109(5):555-562.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In 1950, Whipple and Harris¹ reported 4 cases of Laennec's cirrhosis in which there was bacteremia due to Escherichia coli. Spellberg² and Beeson³ have commented on infections of the blood stream due to colon bacilli in patients with cirrhosis of the liver. In 1954, members of our group⁴ noted cases of severe hepatic disease complicated by bacteremia due to E. coli. These were among the 4 such cases separately reported,⁵ and also were described in our study of 137 patients with bacteremia due to Gram-negative bacilli encountered in a 15-year period extending through 1954.⁶ Subsequently, other reports of this coincidence of diseases have been made.^7-12

Although bacteremia due to Gram-positive microorganisms may complicate severe hepatic disease, our experience to date suggests that it may occur less commonly than Gram-negative bacteremia. Only 1 of 143 patients with bacteremia due to Gram-positive organisms who were . . . [Full Text PDF of this Article]

Author Affiliations
ROCHESTER, MINN.

Mayo Clinic and Mayo Foundation.; Section of Medicine (Drs. Martin and Wellman); Fellow in Medicine (Dr. McHenry); Section of Pathologic Anatomy (Dr. Baggenstoss).

Footnotes
Submitted for publication June 23, 1961.

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