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Biomedical subjects

C Marne

Publications and source records attributed to C Marne.

At least 19 recordsLinked to original sources

Bacteremia by Streptobacillus moniliformis: first case described in Spain.

Described here is the case of an 87-year-old man who developed fever, chills and discomfort caused by Streptobacillus moniliformis. This pathogen is one of the causes of rat-bite fever, an uncommon bacterial illness transmitted through a bite or scratch from a rodent or the ingestion of food or water contaminated with rat faeces. Cases of rat-bite fever are rarely reported in Spain. The patient reported no history of rat bite or rodent contact, and the only known risk factor was contact with a dog and a cat that were kept as pets. Streptobacillus moniliformis was isolated in two sets of blood cultures. This case represents what is believed to be the first report of bacteremia due to Streptobacillus moniliformis in Spain.

Aged↗

Extracellular enzymes of fecal strains of Pseudomonas aeruginosa.

During a three year study 67 strains of Pseudomonas aeruginosa were isolated from stools of 67 patients with gastroenteritis. Serotypes 3 and 6 were the most frequent. The three strains that were serotype 11 were also the only beta-galactosidase producers. All strains were strongly pigmented. Over 90% of the isolates produced hemolysin, gelatinase, protease (caseinase), fibrinolysin, lecithinase and elastase. Fecal carriers of Pseudomonas aeruginosa can be considered a source of dissemination of potentially virulent and invasive strains.

Adolescent↗

Gangrenous cholecystitis and acute cholangitis associated with anaerobic bacteria in bile.

The incidence of anaerobic bacteria in bile, and the relationship between bacterial species isolated from the bile and the clinical characteristics of disease in these patients was studied. One hundred and twenty-five bile specimens obtained during surgery from the same number of patients were cultured aerobically and anaerobically. Seventy patients (56%) had positive cultures and in 30% of the patients with positive cultures anaerobic bacteria were recovered, usually together with aerobic bacteria. Members of the Bacteroides fragilis group were the most frequently isolated anaerobic organisms. There was a high rate of isolation of anaerobic bacteria from bile in patients with gangrenous cholecystitis (72%) or acute cholangitis (50%). Administration of antibiotics effective against anaerobic bacteria should be considered when treating these diseases.

Acute Disease↗

Biliary tract infections caused by Haemophilus influenzae type b.

Four cases of women with biliary infection caused by Haemophilus influenzae type b are reported. The patients had underlying benign or malignant disease of the biliary tract. Haemophilus influenzae was isolated in pure culture from bile in all cases and also from blood cultures in three cases. The clinical condition of three patients was not severe, two of them recovering after surgery without antibiotic therapy. The fourth patient died of septic shock which occurred after liver biopsy. The frequency of biliary infections caused by Haemophilus influenzae has probably been underestimated because of the special nutritional requirements of this microorganism. The route by which Haemophilus influenzae reaches the biliary tract is not fully understood.

Aged↗

Isolation of Pseudomonas putrefaciens in intra-abdominal sepsis.

We report the isolation of Pseudomonas putrefaciens from an intra-abdominal abscess in a patient with colonic carcinoma and from bile in two patients with biliary tract disease. In all three cases, P. putrefaciens was isolated in mixed culture with enteric bacteria.

Abscess↗

The road back.

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Nurses↗