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Causation and Source of Infection in Puerperal Fever.

JAMA. 1931;97(13):953. doi:10.1001/jama.1931.02730130057037.
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The author presents the results of his investigation in a report published by the department of health of Scotland. The data were obtained by routine bacteriologic investigation of cases of puerperal fever and septic abortion admitted to the Aberdeen City Hospital during a period of eight years. Streptococcus hemolyticus was obtained from the uterus in 149 of 196 cases, as the sole pathogenic organism in 120 and associated with others in 29 instances. In the remaining 44 cases there were B. coli, B. proteus, staphylococci, gonococci, pneumococci, diphtheroids and Streptococcus viridans in various combinations. There were three cases in which the swabs taken from the uterus were sterile. Blood cultures were taken in 177 cases and Streptococcus hemolyticus was found in 46 cases—in pure culture 40 times and in combination with other organisms in 6 cases. Streptococcus hemolyticus was found in 76 per cent of the uteri and in the


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