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A 58-year woman with a 1 month history of diarrhea, mucoid stool and abdominal pain was referred for intractable diarrhea. Sigmoidoscopy was done in primary care clinic and showed mucosal edema, whitish patchy and less than 5mm sized multiple inflammatory papules at sigmoid colon. Enterococcus avium (E .avium) was cultured in biopsy sample. Complete resolution of the colitis with E. avium required two weeks of antibiotics and probiotics. Many E. avium cases have been reported in the blooddoi:10.15406/ghoa.2017.08.00267 fatcat:6iy5553gxbcwdg6ksebsydtfgi