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To the Editor.
—In the introductory paragraph of their paper "Bacteremia Following Proctoscopic Biopsy of a Rectal Polyp" (130:127-128, 1972), the authors state, in reference to bacteremia following proctoscopic biopsy of a rectal polyp, "to our knowledge this occurrence has not been recorded before."Apparently, they are unaware of the article "Evaluation of Blood Cultures after Sigmoidoscopy" (N Engl J Med 257:773-774, 1957). This is a report of 50 patients who had a sigmoidoscopic examination done for the usual clinical indications. Among these patients, Aerobacter aerogenes was recovered from the blood immediately after sigmoidoscopy in one patient who had a polyp from which a biopsy was taken at the time of the examination.In another report, "Bacteremia Following Sigmoidoscopy" (Am Heart J 60:863-866, 1960), a study involving 100 patients, bacteria were recovered from one of 200 specimens of blood obtained presigmoidoscopy, and from 12 of 400 blood cultures obtained after
Trimble GX. Bacteremia After Proctoscopic Biopsy. Arch Intern Med. 1973;131(2):304. doi:10.1001/archinte.1973.00320080140022