CHARLES P. CRAIG, M.D.; WIE-SHING LEE, PH.D.; MONTO HO, M.D.
To the editor: Except for Bacillus anthracis, bacilli are not usually considered pathogenic. Despite the increasing role of saprophytes in bacteremic infections, reports of systemic infections due to bacilli are uncommon. We believe this is the first report of Bacillus cereus bacteremia and endocarditis in a drug addict.
An 18-year-old girl, a heroin addict, had had burning pleuritic pain, fever, and diaphoresis for 24 hours. During an admission 2 months earlier, because of angiothrombotic pulmonary hypertension from intravenous talc, she had a white-centered conjunctival petechia and fever but sterile blood cultures; catheterization showed an atrial septal defect.
On admission she
CRAIG CP, LEE W, HO M. Bacillus cereus Endocarditis in an Addict. Ann Intern Med. ;80:418–419. doi: 10.7326/0003-4819-80-3-418
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Published: Ann Intern Med. 1974;80(3):418-419.
Cardiology, Endocarditis, Infectious Disease.
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