A CASE OF BACTEREMIA DUE TO AN UNIDENTIFIED GRAM-NEGATIVE PASTEURELLA-LIKE BACILLUS WITH RECOVERY FOLLOWING STREPTOMYCIN THERAPY

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Abstract
An adult [male] with a 3 wk. history of chills and fever appeared acutely ill. A systolic murmur was heard over the pre-cordium. The rest of the examination was essentially negative. A diagnosis of bacteremia was established when a Gram-negative bacillus was isolated from 2 successive blood cultures. Definite identification of the bacillus could not be established but a relationship to the Pasteurella group was suggested. There was no response to combined sulfadiazine and penicillin therapy. Following institution of streptomycin treatment there was progressive clinical improvement. At one phase of the illness a diagnosis of bacterial endocarditis was suspected. The patient''s uneventful recovery seemed to have been brought about by the streptomycin. However, the possibility of spontaneous recovery could not be ruled out, particularly since the blood culture taken on the day streptomycin was instituted was sterile.

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