PAUL E. HERMANS, M.D., F.A.C.P.; JOHN A. WASHINGTON II, M.D.
Polymicrobial bacteremia, defined as a bacteremic episode due to at least two different organisms isolated from the same blood sample, occurred in 46 patients (6% of all patients with bacteriologically established bacteremia) in an 18-month period. The mortality was 37%. Patients with gastrointestinal, biliary, or hepatic abnormalities represented the single largest group (30%); in this group and in patients with urinary tract abnormalities pathologic processes causing obstruction were common. A relatively benign clostridial bacteremia without underlying gas gangrene was found in four patients and should be differentiated from the clostridial bacteremia with hemolysis which may be seen as a terminal event in patients with gas gangrene. The rare entity of polymicrobial endocarditis or endarteritis can easily be overlooked; it was seen in three patients.
HERMANS PE, WASHINGTON JA. Polymicrobial Bacteremia. Ann Intern Med. 1970;73:387–392. doi: 10.7326/0003-4819-73-3-387
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Published: Ann Intern Med. 1970;73(3):387-392.
Infectious Disease, Multi-Organ Failure and Sepsis, Pulmonary/Critical Care.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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