title: [Fever, somnolence, vomiting, diarrhea].
abstract: A 69-year-old female was admitted because of a febrile state, somnolence, nausea and diarrhea. Addison's disease known to have developed several years earlier after adrenal tuberculosis suggested Addisonian crisis triggered by an acute infection. Therapy with steroids and substitution of electrolytes and fluid led to rapid improvement. Streptococcus bovis was identified as causative agent. The known association of this germ with cancer of the colon led to further investigation which revealed cancer of the sigmoid and incidental cancer of a salpinx. After surgical removal of both cancers, the patient has remained free of complaints under substitution of steroids.
authors: Departement für Innere Medizin, Medizinische Poliklinik, Universitätsspital Zürich.
authors: U
authors: U
authors: Schotte
authors: R
authors: R
authors: Caduff
authors: C
authors: C
authors: Meyenberger
authors: S
authors: S
authors: Baer
authors: P
authors: P
authors: Greminger
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis*; D000368:Aged; D003110:Colonic Neoplasms / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D013293:Enterococcus faecalis / Q000302:isolation & purification*; D005185:Fallopian Tube Neoplasms / Q000175:diagnosis; D005260:Female; D005334:Fever / Q000209:etiology*; D005767:Gastrointestinal Diseases / Q000209:etiology*; D006801:Humans; D012894:Sleep Stages; D013290:Streptococcal Infections / Q000150:complications* / Q000382:microbiology
vernacular_title: Status febrilis, Somnolenz, Erbrechen, Diarrhöe.