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Background We encountered 15 cases of Helicobacter cinaedi (H. cinaedi) infection between March and July 2008. Patient, Method, and Result The underlying diseases were hematological malignancies in a majority of cases, many of which received chemotherapy. All patients had a fever. The fever was followed by cellulitis in three, a skin rash in six, pain in the lower limbs in three, and diarrhea in three cases. We analyzed the bacterial 23S rRNA genes. The fifteen strains were divided according to base sequence into Groups A, B, and C, respectively. All four cases in Group A were women and all ten in Group C were men, indicating that the gender of the patient corresponded precisely to the genotypes of the separated bacilli in these two groups. These findings also suggested the strong possibility of nosocomial spread. Conclusion It is highly likely that H. cinaedi infections have been overlooked due to the difficulties encountered in culturing the bacterium. The possibility of septicemia caused by H. cinaedi should be suspected especially in immunocompromised patients such as those undergoing chemotherapy, with symptoms such as fever, rash, arthritis, cellulitis, leg pain, and other systemic or local symptoms.

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The aggregation behaviors of an excellent nonionic foam booster, namely, fatty acid N-methylethanolamide (NMEA-X; X indicates the carbon number of the acyl group), in aqueous solutions have been studied by equilibrium surface tension (gamma), solubilization of oil-soluble dye, and steady-state fluorescence techniques. NMEA, having a longer alkyl chain than NMEA-08, clearly had two break points on the gamma versus log C (where C is concentration) curves. The solubilization of the oil-soluble dye for NMEA aqueous solutions began at the break point of higher concentration in the gamma versus log C curves, so this concentration was confirmed to be the critical micellization concentration (cmc). Above the cmc, however, a separate oil phase of NMEA was observed instead of micelles of limited size. Another break point at lower concentration was also observed in plots of the fluorescence intensity ratio of pyrene, I1/I3, versus log C of NMEA. The gradual decrease of I1/I3 and the appearance of excimer emission of pyrene in the concentration region between the two break points suggest the existence and growth of premicellar aggregates and the solubilization ability of pyrene. Consequently, this break point at lower concentration was assumed to be the critical premicellization concentration (cac). The surface tension reduction in the premicellar region decreased with increasing alkyl chain length of NMEA.