Oral colonisation with aerobic Gram-negative bacilli (AGNB) is abnormal and
usually indicates a medically compromised state in the host. It has been p
ostulated that oral colonisation with AGNB may predispose a patient to seri
ous systemic infection, but proof of this assertion is lacking. This report
describes an elderly patient who had oral colonisation of Pseudomonas aeru
ginosa and and developed septicaemia from an identical strain of this bacte
rium.