Abstract
Abstract: Adult patients, particularly the elderly, those afflicted with major illness, these undergoing major surgical procedures and those receiving antibiotic drugs are subject to extensive alterations of the normal intestinal flora. These alterations predispose to a massive overgrowth of the intestinal flora by beta Escherichia coli with resultant septicemia and endotoxemia. Pediatricians have managed this problem since before the days of antibiotics by creating a competitive overgrowth of nonpathogenic bacteria through feeding cultures of lactobacilli and nutritious culture media of lactose‐containing milks. A case is reported wherein this pediatric approach was used in a postsurgical patient to inhibit the progressive deterioration arising from beta Escherichia coli overgrowth not arrested by antibiotics. (The treatment of Gram‐negative septicemia and/or shock is outlined.) The prophylactic use of a lactobacillus overgrowth diet in elderly patients who risk the development of Escherichia coli overgrowth should be tried more often.

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