title: [The detection of Peptostreptococcus asaccharolyticus and Bacillus cereus in clinical materials from a child who died of sepsis with a fulminant clinical course].
abstract: A case of an acute disease with a rapid clinical course and a fatal outcome in the presence of irreversible toxicoinfectious shock, appearing in two children after the consumption of sheep kidneys, is described. The post mortem examination of the children revealed the presence of hemorrhagic, erosive and necrotic areas on the mucous membrane of the stomach, the duodenum and the upper section of the small intestine. From the material obtained by probing the stomach of one of the children 6 hours before death P.asaccharolyticus and B.cereus were isolated. Hemorrhage, erosions and necrosis were also found in experimental mice, injected with the centrifugates of the gastric secretions of the patient and the cultures of the isolated bacteria, which was indicative of the presence of highly active exotoxin. On the basis of the above facts, compared with similar data in the literature, this case was considered to be etiologically related anaerobic Peptostreptococcus in symbiosis with B.cereus.
authors.affiliation: National Center of Hygiene, University Infectious Hospital, Sofia, Bulgaria.
authors.forename: S
authors.initials: S
authors.lastname: Beleva
authors.forename: R
authors.initials: R
authors.lastname: Enikova
authors.forename: P
authors.initials: P
authors.lastname: Vachkov
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000818:Animals; D016863:Bacillaceae Infections / Q000382:microbiology* / Q000473:pathology; D001409:Bacillus cereus / Q000302:isolation & purification* / Q000472:pathogenicity; D002648:Child; D017809:Fatal Outcome; D005260:Female; D005517:Foodborne Diseases / Q000382:microbiology / Q000473:pathology; D016908:Gram-Positive Bacterial Infections / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D051379:Mice; D010462:Peptostreptococcus / Q000302:isolation & purification* / Q000472:pathogenicity; D012772:Shock, Septic / Q000382:microbiology* / Q000473:pathology
vernacular_title: Vyiavlenie Peptostreptococcus asaccharolyticus i Bacillus cereus v klinicheskikh materialakh ot rebenka, umershego ot sepsisa s molnienosnym klinicheskim techeniem.