HighlightsThis is the first reported human case of bacteremia caused by Streptococcus canis having scm gene encoding M-like protein.The identity was based on similarity of its 16S rRNA and detection of the specific cfg gene encoding a co-hemolysin.This isolate was confirmed to be sequence type 9.This strain didn’t have the erm(A), erm(B), or mef(A), macrolide resistance genes, but was not susceptible to azithromycin.

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Background: FOLFIRINOX (5-fluorouracil, irinotecan, and oxaliplatin) is a highly active regimen for the treatment of patients with metastatic pancreatic cancer. However, FOLFIRINOX is associated with significant toxicities such as neutropenia, diarrhea, and peripheral neuropathy. Here we report a rare case with metastatic pancreatic cancer complicated with retroperitoneal emphysema and interstitial pneumonitis during FOLFIRINOX chemotherapy.