Document Type

Article

Original Publication Date

1979

Journal/Book/Conference Title

The New England Journal of Medicine

Volume

301

Issue

17

First Page

897

Last Page

900

DOI of Original Publication

10.1056/NEJM197910253011701

Comments

Originally published at http://dx.doi.org/10.1056/NEJM197910253011701

Date of Submission

January 2015

Abstract

Abstract

A 49-year-old splenectomized man had an infection from an unidentified, gram-positive, rodshaped bacterium that adhered to the majority of his peripheral-blood erythrocytes. On transmission electron microscopy, the bacterium was seen to be extraerythrocytic and was 0.2 μm wide by 1.0 to 1.7 μm long. It possessed a thick, granular cell wall, a trilamellar membrane external to the cell wall and prominent mesosomes. Attempts to cultivate the organism in vitro or to duplicate the patient's disease in splenectomized animals were unsuccessful. The patient's response suggested that the bacterium was susceptible to cell-wall-active antibiotics and to chloramphenicol but not to tetracycline. This bacterium may be the cause of other chronic, fever-producing, multisystem diseases of unknown origin. (N Engl J Med 301:897–900, 1979)

Rights

From The New England Journal of Medicine, Archer, G.L., Coleman, P.H., Cole, R.M., et al., Human Infection from an Unidentified Erythrocyte-Associated Bacterium, Vol. 301, Page 897, Copyright © 1979 Massachusetts Medical Society. Reprinted with permission.

Is Part Of

VCU Internal Medicine Publications

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