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A CASE OF GENERAL GASEOUS EMPHYSEMA WITH GAS CYSTS IN THE BRAIN FORMED AFTER DEATH AND DUE TO BACILLUS MUCOSUS
1Pathological Laboratory of Lakeside Hospital, Cleveland, O.
Abstract:
In the case reported in this article there was septicaemia with special localization of the microorganisms in the brain, with gas cysts of the brain and general gaseous emphysema due to Bacillus mucosus capsulatus (aërogenes group). The bacillus isolated from the organs of this case, as well as other members of the aërogenic group of Bacillus mucosus capsulatus can cause general gaseous emphysema in the cadavers of rabbits, either with or without the intravenous injection of sugar before the animal is killed, the gas, however, being most abundant and rapidly formed in the former case. It is not impossible that some of the published cases of gaseous emphysema in which a bacteriological examination was not made, may have been due to members of the Bacillus mucosus capsulatus group.
Insights
Bacillus mucosus capsulatus caused brain gas cysts and emphysema in a patient. This bacterium also induced gaseous emphysema in rabbit cadavers, suggesting it may be responsible for similar human cases without prior bacteriological examination.
Area of Science:
- Medical Microbiology
- Pathology
- Bacteriology
Background:
- Septicemia can present with unusual localizations.
- Gas-forming bacteria can cause emphysema in cadavers.
Purpose of the Study:
- To report a case of septicemia with brain involvement caused by Bacillus mucosus capsulatus.
- To investigate the pathogenic potential of Bacillus mucosus capsulatus in causing gaseous emphysema.
Main Methods:
- Case report and clinical observation.
- Bacteriological isolation and identification of Bacillus mucosus capsulatus.
- Experimental induction of gaseous emphysema in rabbit cadavers.
Main Results:
- A human case of septicemia with brain gas cysts and general gaseous emphysema due to Bacillus mucosus capsulatus was identified.
- Bacillus mucosus capsulatus successfully induced gaseous emphysema in rabbit cadavers.
- Intravenous sugar injection enhanced gas formation in experimental models.
Conclusions:
- Bacillus mucosus capsulatus is a potential cause of severe septicemia with neurological complications.
- This bacterium can induce gaseous emphysema, a finding relevant to unexplained post-mortem gas accumulation.
- Further investigation is warranted for cases of gaseous emphysema lacking definitive bacteriological diagnosis.
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