Summary
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(1)
Twelve cases of enteritis, colitis, or enterocolitis are presented. In 3 patients B. proteus was present in the feces; in 7 B. morganii type 1, and in 2 both B. proteus and B. morganii.
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(2)
Three of the patients died; two from concurrent disease.
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(3)
All of the patients were less than ten months old.
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(4)
During the same period B. proteus and B. morganii were only rarely encountered in the feces of older children with diarrheal disease.
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(5)
With one single exception no other pathogenic enteric organisms were recovered from the feces of these patients.
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(6)
Although the strains of B. proteus and B. morganii, respectively, were biochemically identical, they differed in antigenic structure.
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(7)
Strains isolated from one individual on several occasions showed antigenic differences in spite of the fact that they were biochemically identical.
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(8)
In 8 of the cases the antibody response was followed. In no instance did agglutinins develop against the homologous microörganism (or microorganisms) in titer of 1:10 or above, even several weeks after the onset of the illness.
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(9)
Two representative strains of B. proteus and B. morganii readily engendered agglutinins in rabbits.
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(10)
Feeding of a strain of B. morganii to an infant resulted in the appearance of this microörganism in the feces. However, the strains recovered differed in antigenic structure from the parent strain; biochemically, they were identical.
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(11)
The significance of these findings is discussed.
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References
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Neter, E.R., Farrar, R.H. Proteus vulgaris and proteus morganii in diarrheal disease of infants. Jour. D. D. 10, 344–347 (1943). https://doi.org/10.1007/BF03001475
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DOI: https://doi.org/10.1007/BF03001475