The present paper is based on a review of 11 cases with clinical signs attributable to septicemia in which one or more blood cultures revealed gram-negative bacilli. The age range of the patients was from 3 to 67 years and five of 11 cases were over 50 years. Five were males and six were females. Eight cases died, in 7 of which postmortem examinations were performed
The causative organisms were 4 Escherichia coli, 2 Pseudomonas seruginosa, 1 Klebsiella, 1 Bacterium anitratum, 1 Rettgerella, 1 Gloaca cloacae, and 1 Alkaligenes faecalis. In almost all cases the septicemia developed during the course o underlying diseases, such as malignant diseases, lesions of central nervous system, hematologic disease, biliary and hepatic disease or postoperative conditions. In 4 of 11 cases, large doses of adrenal steroids had been administered for significant intervals prior tothe onset of septicemia, of these one was given an antineoplastic agent (Chlomomycine) added to the steroid regimen.
In 4 the genitourinary, and in 5 the gastrointestinal system, incluing biliary tract, served as the portal entry for the organisms. In 2 a portal of entry was not evident. Hyperpyrexia with or without rigor and leucocytosis with neutrophylia were selected clinical signs of septicemia occurring during the course of underlying diseases. The treatment with antibiotics based on the sensitivity test was effective in about a half of cases, though the patients died finaly because of the underlying diseases.
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