[International Day of Nursing May 12].
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Biomedical subjects
Publications and source records attributed to D Fritsche.
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Within a period of only three months meningococci, Sero B, C and also Y, were detected among the patients of a hospital. The meningococci were isolated as sole pathogen, or in association with other bronchopathogens in five cases of purulent respiratory tract infection, most of whom were suffering from acute or chronic bronchitis. The pathogens were initially identified falsely as "facultative" Neisseria subflava. It is stressed that meningococci must be considered as possible pathogens in such infections if large numbers of the socalled facultative Neisseria have been detected with corresponding culture findings. Reference is made to the possible epidemiological significance of such findings.
A case of septicemia caused by Moraxella osloensis is described. A 4-year old girl fell ill with symptoms similar to those described in cases of septicemia caused by Neisseria meningitidis. Two days after the commencement of treatment with penicillins, however, Moraxella osloensis could be isolated from cerebral fluid, which contained only a small number of cells. It is assumed that the delayed recovery of the child was directly related to the diminished susceptibility of this Moraxella strain to penicillins. Since Moraxella strains may be resistant to these antibiotics, it is necessary to distinguish between Moraxella and N. meningitidis by means of laboratory tests. The symptoms elicited by Moraxella are similar to those in septicaemia caused by N. meningitidis, but are considerably milder in character.
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In 1972 Fritsche and Thelen have described the difference between the structure of the komplex lipids of the genus Bacteroides and the genus Sphaerophorus. Further investigations of Fritsche demonstrated the possibility of grouping gramnegative anaerobes into the genus Bacteroides in spite of the fact, that one of the final products of metabolism of these strains is butyric acid. These strains are the so-called butyric acid producing Bacteroides. This paper describes the structure of the still unknown fatty acids of the komplex lipids of Bacteroides strains and confirms the heterogenity of the sphingosine bases of Bacteroides as a principle. Fife strains of Bacteroides - with and without production of butyric acid - were used for purification of their long chain bases, which were characterized by degradation. The unknown fatty acids were isolated from B. thetaiotaomicron and analyzed by Dr. Rosenfelder with the aid of mass spectrometry, O-methylation and dehydratisation. The experiments of Rosenfelder demonstrate, that the unknown fatty acids have the behaviour of 3-hydroxy fatty acids, the two main peaks are a hexadecanoic and a heptade-behaviour of 3-hydroxy fatty acids, the two main peaks are a hexadecanoic and a heptadecanoic acid. They have an identical behaviour with the 3-hydroxy-15-methyl-palmitic acid of Myxococcus fulvus. Therefore the genus Bacteroides differs from the genus Sphaerophorus by synthesis of 3-hydroxy fatty acids. The production of sphingolipids is a common characteristic of the genus Bacteroides, each of the five strains demonstrated a heterogeneous pattern of bases with sphingosines with 16 to 20, perhaps also 12 to 14 carbon atoms, sometimes predominantly the branched and n-heptadeca- and the octadeca-sphinganine can be identified. The possibility of the production of phyto-sphingosines is discussed.
Since in the past, Aeromonas hydrophila had been isolated from all cases of human infection described. A. punctata and the anaerogenic sub-species were considered as apathogenic. From the case described, a close association between acute diarrhea with vomiting and the identification of A. punctata subsp. caviae becomes evident so that a conditional pathogenicity of this sub-species must be assumed. The question is discussed whether a preceding disturbance of the intestinal habitat in the presence of a particular susceptibility of the gastrointestinal tract promoted gastro-enteritis. Infection may have been brought about by the ingestion of surface water contaminated by sewage. Attention is again drawn to the fact that in the case of enteritis occuring during the open-air bathing season, faeces samples should also be examined for their Aeromonas content which may be performed by a simple indophenol or so-called cytochrome oxidase reaction of the aerobic flora in feces by rubbing off colonies into a corresponding test strip.
A bacterial strain at first sight appearing to be an Enterobacter species causing enteritis could be identified as Salmonella typhimurium showing only a low formation of H2S. This small degree of H2S formation could not be demonstrated on commercial media ready for use. The high antibiotics resistance of the strain in question points to the possibility of its having undergone several antibiotics passages without recognition. Thus, serological verification is recommended in the case of so-called Enterobacter species appearing as agents of enteritis.
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