Streptococcus bovis meningitis and carcinoma of the colon

A 90-year-old woman who presented with Streptococcus bovis meningitis was found at autopsy to have a colonic carcinoma. Although the association between colonic carcinoma and S. bovis endocarditis or bacteremia is well-documented in the literature, S. bovis meningitis is uncommon. A thorough investigation of the gastrointestinal tract should be undertaken in patients with S. bovis infections even in the absence of gastrointestinal signs or symptoms.