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Streptococcus sanguis endocarditis associated with colonic carcinoma
Sukhjinder Nijjer1, Simon William Dubrey
1Hillingdon Hospital, Cardiology, Pield Heath Road, Uxbridge, UB8 3NN, UK.
BMJ Case Reports
|February 21, 2012
Summary
Infective endocarditis from Streptococcus sanguis may indicate gastrointestinal cancer. This case highlights the need for GI surveillance in patients with less common streptococcal bacteremia.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Cardiology
Background:
- Streptococcus bovis endocarditis is linked to colorectal cancer.
- Less common streptococci, like Streptococcus sanguis, may also associate with gastrointestinal malignancies.
Purpose of the Study:
- To report a case of disseminated colorectal carcinoma following Streptococcus sanguis endocarditis.
- To emphasize the potential need for gastrointestinal surveillance in specific bacteremia cases.
Main Methods:
- Case report presentation.
- Review of clinical history and diagnostic findings.
Main Results:
- A patient developed disseminated colorectal carcinoma after confirmed Streptococcus sanguis endocarditis.
- The patient required mitral valve surgery due to endocarditis complications.
Conclusions:
- Bacteremia caused by less common streptococci, such as Streptococcus sanguis, warrants consideration for gastrointestinal malignancy.
- Gastrointestinal surveillance may be necessary for patients with these specific infections.
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