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Staphylococcal septicemia resulting in embolic small bowel perforation.

Intestinal perforation has not to our knowledge been reported as a complication of staphylococcal sepsis during infancy. We report a case in which staphylococcal bacteremia resulted in multiple metastatic abscesses of the small bowel with subsequent perforation. CASE REPORT A 4-month-old boy in previously good health was admitted to a local hospital with a two-day history of discharge from both ears. He had a temperature of 38.5 C (101.4 F), was lethargic, and had a distended abdomen. His pulse was 230 beats per minute and his respiratory rate 60 breaths per minute. A chest roentgenogram showed a right lower lobe pneumonia, and an abdominal film revealed dilated loops of small and large bowel. See Image in the PDFfile