Erwinia Infection From Environmental Sources

Abstract
To the Editor.— The recent findings of intravenous fluid contamination withErwiniaorganisms has focused attention on these bacteria. At Yale-New Haven Hospital,Erwiniastrains were isolated from blood cultures in 1966, 1969, and 1970. The three patients, two males and one female, were 17 (patients 1 and 2) and 28 (patient 3) years old, and had been admitted for reasons other than septicemia, as follows: transverse arrest (patient 1), diabetic ketoacidosis (patient 2), and injuries from a motorcycle accident (patient 3). Within 12 hours after admission, the first two patients experienced chills, tachycardia, and temperatures which rose rapidly to 102 to 103 F. The third patient had two temperature spikes to 105 F on two successive days. All had been given fluids intravenously (without catheter) prior to the temperature spikes, and all were treated promptly with antibiotics, as follows: patient 1 with streptomycin and penicillin, patient 2 with cephalothin,

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