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Colonoscopy is mandatory after Streptococcus bovis endocarditis: a lesson still not learned. Case report
Alberta Ferrari1, Ivan Botrugno, Elisa Bombelli
1Department of Surgery, University of Pavia, Istituto di Chirurgia Epatopancreatica, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy. albertaferrari@libero.it
World Journal of Surgical Oncology
|May 14, 2008
Summary
Streptococcus bovis infection is linked to colon cancer. Early screening and follow-up colonoscopies are crucial for timely diagnosis and improved outcomes in patients with this infection.
Area of Science:
- Gastroenterology
- Oncology
- Infectious Diseases
Background:
- The association between specific bacterial infections and colon neoplasms is established but underutilized in clinical practice.
- Routine screening for colon cancer following bacterial infections is not consistently implemented.
Observation:
- A 51-year-old man with a history of Streptococcus bovis endocarditis five years prior presented with advanced sigmoid colon adenocarcinoma.
- The cancer had metastasized to the liver and invaded the urinary tract, indicating a T4N1M1 stage.
- The patient experienced rapid disease progression despite treatment, surviving only five months post-diagnosis.
Findings:
- Delayed diagnosis of colon cancer in a patient with a history of Streptococcus bovis endocarditis.
- Lack of timely colonoscopy following the initial infection likely contributed to the advanced stage at diagnosis.
Implications:
- This case underscores the necessity of thorough investigation for occult colon cancer in patients with Streptococcus bovis infections.
- Recommendations include timely cancer screening during hospitalization and scheduled endoscopic follow-up if no tumor is initially found.
- Adherence to these guidelines could potentially lead to earlier cancer detection and improved patient survival rates.
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