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Mimeae Septicemia

Mimeae Septicemia To the Editor:— Mimeae infections occur only under unusual circumstances and only recently1-7 have been recognized as clinically significant. This report presents four cases believed to represent Mimeae infections that were successfully treated. Report of Cases:—Case 1.— A 7-year-old white girl with severe congestive heart failure and septicemia was found to have initial cultures of the blood positive for Staphylococcus aureus which was sensitive to penicillin and chloramphenicol. A satisfactory initial response was obtained and cultures of the blood were negative during the second and third weeks. During the fourth week fever returned and failure became progressively worse. A grade 3 systolic murmur became audible. Blood cultures on the 27th hospital day revealed a heavy growth of Herellea and it was the consensus that a diagnosis of endocarditis due to Herellea was justified. Kanamycin was given immediately and marked clinical improvement was noted within 48 hours. Subsequent http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Mimeae Septicemia

JAMA , Volume 207 (9) – Mar 3, 1969

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Publisher
American Medical Association
Copyright
Copyright © 1969 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1969.03150220132027
Publisher site
See Article on Publisher Site

Abstract

To the Editor:— Mimeae infections occur only under unusual circumstances and only recently1-7 have been recognized as clinically significant. This report presents four cases believed to represent Mimeae infections that were successfully treated. Report of Cases:—Case 1.— A 7-year-old white girl with severe congestive heart failure and septicemia was found to have initial cultures of the blood positive for Staphylococcus aureus which was sensitive to penicillin and chloramphenicol. A satisfactory initial response was obtained and cultures of the blood were negative during the second and third weeks. During the fourth week fever returned and failure became progressively worse. A grade 3 systolic murmur became audible. Blood cultures on the 27th hospital day revealed a heavy growth of Herellea and it was the consensus that a diagnosis of endocarditis due to Herellea was justified. Kanamycin was given immediately and marked clinical improvement was noted within 48 hours. Subsequent

Journal

JAMAAmerican Medical Association

Published: Mar 3, 1969

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