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Streptococcus bovis  bacteremia is nearly always pathological and has been associated with colorectal cancer and endocarditis. Here, we present the first published case of  S. bovis  bacteremia secondary to acute mesenteric ischemia. This case illustrates the typical presentation of acute mesenteric ischemia with an atypical consequence of  S. bovis  bacteremia, as well as the diagnostic evaluations and management options.

Mesenteric ischemia as an unusual cause of Streptococcus bovis bacteremia in the absence of endocarditis or colorectal neoplasm