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  Vol. 68 No. 4, OCTOBER 1941 TABLE OF CONTENTS
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DIRECT CULTIVATION OF BACTERIUM TULARENSE FROM HUMAN BLOOD DRAWN DURING LIFE AND AT AUTOPSY

REPORT OF THREE FATAL CASES OF TULAREMIA, WITH BRIEF NOTES ON TWO OTHERS

JOHN C. RANSMEIER, M.D.; ISABELLE G. SCHAUB, B.A.

Arch Intern Med. 1941;68(4):747-762.

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

THE OCCURRENCE OF BACTEREMIA

The concept of invasion of the blood stream in tularemia is embodied in the name given to the disease by Francis,1 who wrote: "The name tularemia is based upon the specific name Bacterium tularense, plus -aemia, from the Greek, and has reference to the presence of this bacterium in the blood." In early investigations direct proof of bacteremia was furnished by animal inoculation. Blood from a patient with "deer-fly fever" who ultimately recovered was injected into guinea pigs by Francis1 (case 3) and was found to be infectious. Simpson2 similarly recovered the organism in 1 nonfatal case (XI) and also in a rapidly fatal case in which the blood was taken on the day before death. Such observations have been amply confirmed by others who have demonstrated by guinea pig inoculation the presence of B. tularense in the blood in fatal cases, both . . . [Full Text PDF of this Article]


Author Affiliations

NASHVILLE, TENN.; BALTIMORE

From the Departments of Medicine, and Pathology and Bacteriology, the Johns Hopkins University School of Medicine.



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