Prospective study of routine screening for cirrhosis and colonic tumors associated with Streptococcus bovis bacteremia

Between 1987 and 1990, seven patients hospitalized in our hospital had bacteremia caused by Streptococcus bovis. Complete gastrointestinal evaluation was routinely carried out for digestive portal of entry and liver disease screening. In four cases (2 bacteremia, 2 endocarditis), a colonic growth wa...

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Bibliographic Details
Published inGastroentérologie clinique et biologique Vol. 15; no. 4; p. 311
Main Authors Dao, T, Jardin-Grimaux, I, Vergnaud, M, Hédoire, F, Davy, A, Chailloux, P, Valla, A
Format Journal Article
LanguageFrench
Published France 1991
Subjects
Adenocarcinoma - complications
Adenoma - complications
Aged
Colonic Polyps - complications
Endocarditis, Bacterial - complications
Female
Humans
Liver Cirrhosis - complications
Male
Middle Aged
Prospective Studies
Rectal Neoplasms - complications
Sigmoid Neoplasms - complications
Streptococcal Infections - blood
Streptococcal Infections - complications
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Summary:Between 1987 and 1990, seven patients hospitalized in our hospital had bacteremia caused by Streptococcus bovis. Complete gastrointestinal evaluation was routinely carried out for digestive portal of entry and liver disease screening. In four cases (2 bacteremia, 2 endocarditis), a colonic growth was detected: sigmoid adenoma (n = 1) and rectosigmoid carcinoma (n = 4); in one case (endocarditis), several rectosigmoid carcinomas were associated with alcoholic cirrhosis; in one case (bacteremia), alcoholic cirrhosis was diagnosed; in one case (endocarditis), no gastrointestinal or hepatic portal of entry was found. These cases emphasize the need for simultaneous detection of endocarditis and gastrointestinal portal of entry such as colonic tumor and/or cirrhosis, in case of Streptococcus bovis bacteremia.
ISSN:0399-8320