Department of Internal Medicine, University of Michigan Medical Center, Ann Arbor, Michigan, USA.
Eur J Gastroenterol Hepatol. 2009 Jul;21(7):824-6. doi: 10.1097/MEG.0b013e3282fc735c.
Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasms of the gastrointestinal tract. Often discovered incidentally, GISTs can present with nonspecific abdominal symptoms or more overt symptoms of bleeding, obstruction, or perforation. Despite a myriad of clinical presentations, bacteremia associated with a GIST has not been described. In this report, we present an unusual clinical case that illustrates how GISTs can become infected, and demonstrate the importance of Streptococcus milleri bacteremia as an indicator of possible underlying gastrointestinal neoplasm.
胃肠道间质瘤（GISTs）是胃肠道最常见的间叶性肿瘤。GISTs 通常是偶然发现的，可表现为非特异性腹部症状或更明显的出血、梗阻或穿孔症状。尽管临床表现多种多样，但与 GIST 相关的菌血症尚未被描述。在本报告中，我们呈现了一个不常见的临床病例，说明了 GIST 如何发生感染，并强调了米勒链球菌菌血症作为可能存在胃肠道肿瘤的指标的重要性。
