A CASE OF GENERAL GASEOUS EMPHYSEMA WITH GAS CYSTS IN THE BRAIN FORMED AFTER DEATH AND DUE TO BACILLUS MUCOSUS

W T Howard1

  • 1Pathological Laboratory of Lakeside Hospital, Cleveland, O.

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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