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FULMINATING BACILLUS COLI SEPTICEMIA IN WOMEN WITH DIABETESREPORT OF FOUR CASES, WITH SPECIAL REFERENCE TO CLINICAL DIAGNOSIS
BYRON D. BOWEN, M.D.;
ERNEST WITEBSKY, M.D.
Arch Intern Med. 1941;67(6):1099-1106.
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In September 1938 an obese woman with diabetes was admitted to the Buffalo General Hospital in a stuporous state, from which she gradually lapsed into unconsciousness. She presented a clinical picture such as we had not seen before. High fever and leukocytosis were present, and the only apparent cause for this was that suggested by the finding of pus and bacteria in the urine. The patient had been acutely ill for only a day. Treatment was directed toward the diabetes, but she lived only three days. No diagnosis was made until the blood culture, which was taken soon after admission, showed a pure growth of Bacillus coli.
Within a period of less than a year 3 more patients presented a clinical picture so similar to that of the first patient that the diagnosis was readily suggested, and treatment was instituted before the blood cultures had yielded growth. These 4 cases
. . . [Full Text PDF of this Article]
Author Affiliations
Associate Professor of Medicine, University of Buffalo School of Medicine; Bacteriologist and Serologist, Buffalo General Hospital; Associate Professor of Bacteriology and Immunology, University of Buffalo School of Medicine; BUFFALO
From the Medical Service of the Buffalo General Hospital.
Footnotes
Presented at the Fifty-Seventh Annual Meeting of the American Clinical and Climatological Association, White Sulphur Springs, W. Va., Oct. 28, 1940.
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