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Streptococcus bovis bacteremia
    Differential Diagnosis[Top] [Nav]
colonic neoplasm or other gastrointestinal malignancy, benign conditions associated with lost bowel-wall integrity
    Discussion -- not available online[Top] [Nav]
    Notes[Top] [Nav]
       *As noted below, Clostridium septicum infection is associated with colonic dis-integrity in a manner similar to Strep. bovis bacteremia.
    Update Comments[Top] [Nav]
  • Another Streptococcus species that takes advantage of colonic dis-integrity. [103]
  • Infections in colon cancer. [104]
  • Clostridial infection in a patient with adenocarcinoma of the colon. [106]
  • Another Clostridium-in-colon-cancer case. The clinician discussant noted: "The association between infection with C. septicum and an underlying malignant tumor is reminiscent of that between Strep. bovis bacteremia and intestinal cancers.... The association with gastrointestinal cancers is so striking that the finding of bacteremic Strep. bovis infection or spontaneous clostridial myonecrosis should trigger a search for a malignant tumor." The pathologist remarked: "The underlying theme in cases of spontaneous myonecrosis due to C. septicum is loss of mucosal integrity, which provides a portal of entry for bacteria." [107]
    Footnotes in Print Edition[Top] [Nav]
    (1) [This footnote was a comment, not a reference.]
    (2) [This footnote was a comment, not a reference.]
    (3) Endocarditis due to group D streptococci. Comparison of disease caused by streptococcus bovis with that produced by the enterococci.
  Moellering RC Jr, Watson BK, et al.   Am J Med 1974 Aug;57(2):239-50.  Pubmed  Similars
    (4) Association of Streptococcus bovis with carcinoma of the colon.
  Klein RS, Recco RA, et al.   N Engl J Med 1977 Oct 13;297(15):800-2.  Pubmed+Abstract  Similars
    (5) Streptococcus bovis septicemia and carcinoma of the colon.
  Klein RS, Catalano MT, et al.   Ann Intern Med 1979 Oct;91(4):560-2.  Pubmed+Abstract  Similars
    (6) [This footnote was a comment, not a reference.]
    (7) Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 9-1987. A 74-year-old man with diffuse pulmonary consolidations after emesis and apparent aspiration.
  N Engl J Med 1987 Feb 26;316(9):529-41.  Pubmed  Similars
    New References[Top] [Nav]
Streptococci
    101.Streptococcus bovis bacteraemia requires rigorous exclusion of colonic neoplasia and endocarditis.
  Beeching NJ, Christmas TI, et al.   Q J Med 1985 Aug;56(220):439-50.  Pubmed+Abstract  Similars
    102.Streptococcus bovis infection of the pulmonary valve in an elderly woman with a colonic polyp.
  Busby WJ, Campbell AJ, et al.   J Am Geriatr Soc 1987 Feb;35(2):166-9.  Pubmed  Similars
    103.Streptococcus agalactiae endocarditis: an association with villous adenomas of the large intestine.
  Wiseman A, Rene P, et al.   Ann Intern Med 1985 Dec;103(6 ( Pt 1)):893-4.  Pubmed  Similars
Infections and colonic pathology
    104.Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 46-1990. A 63-year-old woman with diarrhea and bullous lesions of the buttock.
  N Engl J Med 1990 Nov 15;323(20):1406-12.  Pubmed  Similars
    105.Unusual infections associated with colorectal cancer.
  Panwalker AP.   Rev Infect Dis 1988 Mar-Apr;10(2):347-64.  Pubmed+Abstract  Similars
    106.Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 29-1989. A 79-year-old man with fever, abdominal pain, and inflamed right eye.
  N Engl J Med 1989 Jul 20;321(3):172-82.  Pubmed  Similars
    107.Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 5-1993. An 81-year-old man with pain and crepitus in the shoulder.
  N Engl J Med 1993 Feb 4;328(5):340-6.  Pubmed  Similars
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    ©1986-2000 John Sotos, MD. All rights reserved.  Last updated 16:34 PDT on July 4, 2000.[Top]

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