Thanks. Everything in that document would seem to confirm that whatever is causing this, it's not your Mac:
IP Address 100.42.52.118 is listed in the CBL. It appears to be infected with a spam sending trojan or proxy.
Make certain that is really your IP address.
Everything in the document references PC software. If someone with a PC was using your network, and that PC was running AMS43.exe or something like it to send spam, that would certainly explain the IP address implication.
If you are reasonably sure that is no longer possible, the bottom of that page contains a link to de-list your IP from its blacklist.
If nothing else helps, most home networks are assigned IP addresses out of a pool, and the IP address can change. It's possible someone else who was infected was using the IP address that you are using now. You should ask your internet service provider to get involved.
That sounds like the most reasonable explanation.
After reviewing all this, I think you'll agree that "my mac is sending out spam" was an understandable, but premature conclusion for both you and your ISP to have drawn.