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April 2, 1982

Multiple-Organism Septicemia and Carcinoma of the Colon

JAMA. 1982;247(13):1812. doi:10.1001/jama.1982.03320380018019

To the Editor.—  Several reports of cases of Streptococcus bovis septicemia and endocarditis and carcinoma of the colon exist.1,2 The gastrointestinal tract lesions associated with S bovis included benign polyps, diverticulosis, and a gastric lymphoma. Approximately half had no evidence of endocarditis.1 There is also a case report of S bovis endocarditis and pancreatic neoplasm.3 The following case reports multiple-species septicemia associated with carcinoma of the colon.

Report of a Case.—  A 66-year-old man with a history of coronary artery disease treated with digoxin, 0.25 mg daily, and propranolol hydrochloride, 80 mg daily, entered the Nassau Hospital, Mineola, NY, with chest pain, weakness, and nausea of less than 12 hours' duration. A choledochoduodenostomy for a common duct stone had been performed six years earlier. The patient was admitted to the cardiac care unit to rule out a myocardial infarction. The initial ECG and chest x-ray film were