E. coli obtained from appendix, caecum and stool in 137 cases of appendicitis patients were chiefly examined.
The character of isolated microorganism, especially the type of E. coli was studied, and the problem of distribution of E, coli in intestine are investigated. Beside E. coli, other microorganisms isolated were also studied.
In 11 cases, contents of caecum were obtained aseptically by double-tube method and yielded to culture.
In 52 cases serum agglutination titre to E. coli was estimated.
The results of the experiments were as follows;
1) Twenty eight types (53 strains) of different E. coli and 72 strains of non-typable E. coli were isolated from the contents of 104. Appendix out of 126 cases.
Sixty two point two percent of typable E. coli distributed within the types O-1-O-25 averagely.
2) Fifty different types of E. coli (109 strains) were isolated and non-typable 206 strains were also isolated in 126 cases from stools. The distribution of 45.9% of typable E. coli proved within the types O-1-O-25.
3) In 11 cases different 7 types of E. coli were isolated 7 strains, and non-typable 6 strains were also isolated from caecum, 42.8% of typable E. coli was distributed within the types O-1-O-25.
4) The types of E. coli which were obtained from each portions mostly belonged to different ones. This fact was also observed in non-appendicitis cases.
5) The serum agglutination titer to E. coli were compared on patient in admittance and discharge from hospital, but no definite conclusion was obtained.
6) The microorganisms isolated from the contents of appendix in pure culture and their frequency were as follows, E. coli 32 cases (25.4%), Ps. aeruginosa 5 cases, Strept. faecalis 4 cases, Klebsiella 2 cases, Strept. haemolyticus 1 case, Shigella 1 case, and the total was 45 cases.
No specific types of E. coli or microorganism were obtained from the contents of appendix. The frequency of E. coli in pure culture which was considered as normal non-pathogenic microorganism was predominant, so the character of inflammatory origin of E. coli will be reported in the next experiment.
View full abstract