Arquivos de Gastroenterologia | |
Infectious endocarditis from Streptococcus bovis associated with colonic carcinoma: case report and literature review | |
Jaques Waisberg2  Cláudio De Oliveira Matheus2  João Pimenta1  | |
[1] ,Hospital do Servidor Público Estadual Surgical Gastroenterology | |
关键词: Endocarditis; Streptococcus bovis; Colonic neoplasms; Carcinoma; Endocardite bacteriana; Streptococcus bovis; Neoplasias do cólon; Carcinoma; | |
DOI : 10.1590/S0004-28032002000300008 | |
来源: SciELO | |
【 摘 要 】
BACKGROUND: Many studies in the literature have warned of the need for investigation of colonic lesions among patients, especially elderly ones, who have bacteremia and/or endocarditis from Streptococcus bovis. Bacteremia and infectious endocarditis from Streptococcus bovis may be related to the presence of neoplastic lesions in the large intestine and hepatic disease. AIM: This report describes a patient who presented infectious endocarditis from Streptococcus bovis associated with colonic carcinoma and tubular-villous adenomas. CONCLUSIONS: The finding of this bacterium among patients with septicemia and/or endocarditis is also related to the presence of villous or tubular-villous adenomas in the large intestine. For this reason, complete and detailed investigation of the large intestine must be performed in patients with infectious endocarditis, even in the absence of intestinal symptoms. An increased incidence of this condition or hepatic dysfunction has been reported among patients with infectious endocarditis from Streptococcus bovis. Patients with infectious endocarditis from Streptococcus bovis and normal colonoscopy may be included in the group at risk for developing colonic cancer. The knowledge that there is an association between endocarditis from Streptococcus bovis and carcinoma of the colon has important clinical implications. If the lesion can be discovered at an early stage, curative resection may become possible.
【 授权许可】
CC BY-NC
All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License
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