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ARTICLE |

Mimeae Septicemia

Robert L. Richardson, MD
JAMA. 1969;207(9):1716-1717. doi:10.1001/jama.1969.03150220132027.
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To the Editor:—  Mimeae infections occur only under unusual circumstances and only recently1-7 have been recognized as clinically significant. This report presents four cases believed to represent Mimeae infections that were successfully treated.

Report of Cases:—Case 1.—  A 7-year-old white girl with severe congestive heart failure and septicemia was found to have initial cultures of the blood positive for Staphylococcus aureus which was sensitive to penicillin and chloramphenicol. A satisfactory initial response was obtained and cultures of the blood were negative during the second and third weeks.During the fourth week fever returned and failure became progressively worse. A grade 3 systolic murmur became audible. Blood cultures on the 27th hospital day revealed a heavy growth of Herellea and it was the consensus that a diagnosis of endocarditis due to Herellea was justified. Kanamycin was given immediately and marked clinical improvement was noted within 48 hours. Subsequent

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