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The isolation of intestinal spirochetes from the blood of a series of six French patients with a range of serious clinical problems was reported recently (3). These organisms and another from the blood of a patient with AIDS in the United States were subsequently identified as Brachyspira (Serpulina) pilosicoli (7). Intestinal carriage of B. pilosicoli occurs in Australia and is particularly common in Aboriginals (6), homosexual males (5), and immigrants who have recently arrived from developing countries (2). A recent study has shown that routine incubation protocols used for blood cultures are too short to allow detection of B. pilosicoli (1). The purpose of the study described here was to determine if spirochetemia due to this organism

Failure To Detect Brachyspira pilosicoli in Bloodstream of Australian Patients