Abstract
To the Editor.— The association of Streptococcus bovis bacteremia and endocarditis with lesions of the gastrointestinal (GI) tract is well recognized. 1 The report of multiorganism septicemia and carcinoma of the colon (1982;247:1812) was of interest because we have recently seen a patient with sequential bacteremia and fungemia who also had colonic carcinoma. Report of a Case.— An 84-year-old man was admitted to the Wilmington Veterans Administration Medical Center, Wilmington, Del, with a history of anorexia and weight loss for two months. Physical examination disclosed an emaciated, confused, and combative patient with evidence of severe dehydration. He was afebrile with a BP of 90/60 mm Hg and tachycardia. There was a painful swelling of the right lower leg. Results of the physical examination were otherwise normal. Laboratory studies disclosed the following results: WBC count, 21,300/cu mm, with 90% polymorphonuclear cells; hemoglobin, 9.7 mg/dL; creatinine, 2.2 mg/dL; serum urea nitrogen, 89
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