Papers And Originals

Hypophosphataemia in Septicaemia: Higher Incidence in Gram-negative Than in Gram-positive Infections

Br Med J 1969; 1 doi: https://doi.org/10.1136/bmj.1.5646.753 (Published 22 March 1969) Cite this as: Br Med J 1969;1:753
  1. G. F. Riedler,
  2. W. A. Scheitlin

    Abstract

    Phosphataemia has been investigated in 54 patients with Gram-negative septicaemias; either absolute (serum phosphate <2 mg./100 ml.) or relative (P./B.U.N. 0·04) hypophosphataemia was found in 69% of all determinations. In 37 patients with Gram-positive septicaemias hypophosphataemia was present in only 24%, many of whom had additional Gram-negative bacteriuria and possible Gram-negative septicaemia suppressed by antibiotics. The mechanism of this phenomenon is not known. This new sign of Gram-negative septicaemia has some diagnostic importance.