Devis A, Dony A, De Boelpaepe F, Verhulst C, Sersté J P
Service de chirurgie, Centre hospitalier Paul Brien, Bruxelles.
Acta Chir Belg. 1989 Jan-Feb;89(1):58-60.
The authors report the case of a patient who developed a Streptococcus Bovis septicemia in the post-operative course of a surgical cure of an incarcerated umbilical hernia. There were no other complaints. A barium enema showed a malignant tumor of the descending colon. There were hepatic metastases. No complementary treatment was undertaken. The patient died shortly after. In the literature colonic proliferative lesions in association with this germ is reported in a total of 36% of proliferative lesions (15% of cancers and 21% of adenomas). It is concluded that the discovery of a malignant or premalignant proliferative lesion in one third of the cases justifies the exploration of the colon by barium enema and/or colonoscopy in the case of Streptococcus Bovis septicemia. The discovery of other digestive lesions (malignant or not) seems to be coincidental.
作者报告了一例患者，该患者在嵌顿性脐疝手术治疗的术后过程中发生了牛链球菌败血症。患者无其他不适主诉。钡剂灌肠显示降结肠有恶性肿瘤，且存在肝转移。未采取辅助治疗。患者不久后死亡。文献报道，在所有增生性病变中，与该病菌相关的结肠增生性病变占36%（癌症占15%，腺瘤占21%）。得出的结论是，鉴于三分之一的病例中发现了恶性或癌前增生性病变，因此对于牛链球菌败血症患者，通过钡剂灌肠和/或结肠镜检查对结肠进行探查是合理的。发现其他消化系统病变（无论是否为恶性）似乎是巧合。
