Key result
Targeted endoscopic examination in a patient with Streptococcus bovis endocarditis successfully identified asymptomatic colon cancer in situ, enabling timely surgical treatment.
Why the study?
Does targeted endoscopy detect colon cancer in patients presenting with Streptococcus bovis endocarditis?
Case Report (n=1)
Does targeted endoscopy detect colon cancer in patients presenting with Streptococcus bovis endocarditis?
Highlights the critical need for complete endoscopic examination of the colon in patients with Streptococcus bovis endocarditis to detect early-stage gastrointestinal malignancy.
Supports targeted endoscopy in S. bovis endocarditis; hypothesis-generating and should not yet change practice.
INTRODUCTION: Streptococcus bovis is labeled in the literature as a cause of bacteremia and endocarditis, which are often associated with gastrointestinal malignancy. CASE OUTLINE: In our paper we present a patient with endocarditis induced by Streptococcus bovis who was also, after completed cardiologic examination and treatment, diagnosed colon cancer in situ by targeted endoscopy. Owing to the timely diagnosis, and after successful cardiologic surgery with implantation of an artificial aortic valve, patient underwent surgery of the colon, and is now asymptomatic and in good health. CONCLUSION: Complete and detailed endoscopic examination of the colon must be done in patients with endocarditis caused by Streptococcus bovis, even if the patient is asymptomatic. By following these recommendations, it is possible to detect precancerosis or cancer at an early stage and save the patient's life.
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Ivanov et al. (2014) conducted a case report in Streptococcus bovis endocarditis (n=1). Endoscopic examination of the colon was evaluated on Diagnosis of colon cancer. Targeted endoscopic examination in a patient with Streptococcus bovis endocarditis successfully identified asymptomatic colon cancer in situ, enabling timely surgical treatment.
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