Localized gut-associated lymphoid tissue hemorrhage induced by intravenous peptidoglycan-polysaccharide polymers

A hemorrhage into gut-associated lymphoid tissue developed as early as 3 min after the intravenous injection of group A streptococcal peptidoglycan-polysaccharide polymers into rats. Extravasated erythrocytes were specifically located in the lamina propria and organized lymphoid follicles of the intestines and mesenteric lymph nodes and did not occur in the lungs, kidneys, liver, spleen, adrenal glands, or submandibular and popliteal lymph nodes, as determined by gross and histologic observations and measurement of radiolabeled erythrocytes. Petechial hemorrhage was preferentially located within the intestine to the distal ileum, Peyer's patches, and lymphoid aggregates of the colon. The hemorrhage was transient and occurred in a dose-dependent fashion. It was maximal 5 min after injection and resolved completely by 3 days. A unique feature of this altered vascular permeability was the absence of polymorphonuclear leukocytic infiltration, edema, vasculitis, and tissue necrosis.