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A case of unusual septicaemia
  1. R Sivakumar,
  2. E Roche,
  3. R M Faizallah
  1. Department of Gastroenterology, Arrowe Park Hospital,Cheshire,UK
  1. Dr R Sivakumar, 5 Stephendale Road, Fulham, London SW6 2LT, UKsivasiva51{at}

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A 74 year old man was admitted with lethargy. There was no significant past medical history. General examination was unremarkable. Investigations revealed iron deficiency anaemia with a haemoglobin concentration of 90 g/l. He developed swinging pyrexia and blood cultures grew a Gram positive organism in the anaerobic bottle. Barium enema was performed and shown in fig1.


What is the finding in the barium enema?
What is the association between the barium enema finding and septicaemia referred to?

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  • Answers on p 417.

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