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JAMA. 1984;252(21):3003-3004.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THIS report describes the accidental self-inoculation with a strain of Streptococcus pneumoniae type I that resulted in a serious hand infection.

Report of a Case

During a routine subcutaneous inoculation of rats with S pneumoniae type I, A5 strain (received from the US Army Medical Research Institute of Infectious Diseases and thought to be attenuated), a healthy, 36-year-old, male research scientist accidentally inoculated the fifth metacarpophalangeal (MCP) joint of his left hand with a 1.0-mL tuberculin syringe with a 26-gaugex1.3-cm needle. The inoculum contained 7x10⁴ colony-forming units per milliliter, determined by plating on sheep-blood agar. The patient was holding the syringe by the barrel and penetrated the skin over the joint without depressing the plunger. It was thought that the inoculum was small. (The number of organisms in the needle only was estimated to be less than 200.) The needle was not sterile; rats had been inoculated with the . . . [Full Text PDF of this Article]

Footnotes
From the Departments of Clinical Investigation (Drs Little and Higbee) and Surgery (Drs O'Reilly and Camp), Madigan Army Medical Center, Tacoma, Wash.

The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

Reprint requests to USAMRICD, Attn: SGRD-UV-PB, Aberdeen Proving Ground, MD 21010 (Dr Little).

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