Bacillus cereus bacteremia and hemolytic anemia in a patient with hemoglobin SC disease.
A patient with hemoglobin SC disease and cholelithiasis was found to have Bacillus cereus bacteremia. Hemolytic anemia developed, for which common causes of hemolysis were excluded, suggesting a relationship with the bacteremia. Following in vitro incubation, type O erythrocytes were hemolyzed by the culture, but not by a bacteria-free filtrate. This case confirms the association between sickle cell disorders and cholelithiasis with B cereus infections. In addition, it provides evidence for in vivo hemolysis with B cereus bacteremia, an organism not previously associated with hemolytic anemia.
D000328:Adult; D000743:Anemia, Hemolytic / Q000209:etiology*; D000755:Anemia, Sickle Cell / Q000150:complications*; D001409:Bacillus cereus; D002769:Cholelithiasis / Q000150:complications / Q000175:diagnosis; D006445:Hemoglobin C Disease / Q000150:complications*; D006801:Humans; D008297:Male; D018805:Sepsis / Q000150:complications*