STREPTOCOCCUS-BOVIS BACTEREMIA REQUIRES RIGOROUS EXCLUSION OF COLONIC NEOPLASIA AND ENDOCARDITIS

  • 1 January 1985
    • journal article
    • research article
    • Vol. 56  (220) , 439-450
Abstract
Twelve patients presented to the hospitals of the Auckland Hospital Board with bacteraemia caused by S. bovis in the years 1979-84. Ten had endocarditis, affecting homograft valves in two cases and the tricuspid valve in one case. Of nine patients who underwent investigation of the large bowel, only one did not have a colorectal tumor. Three had colonic adenocarcinoma and three had colorectal villous adenoma. Two, including a patient with acute hepatic failure from alcoholic cirrhosis, had colonic adenomata. Colonoscopy provided a tissue diagnosis of colorectal neoplasia despite negative radiological studies in three patients. Bacteraemia due to S. bovis should prompt rigorous investigation to exclude both endocarditis and tumors of the large bowel.

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