Smanis Grigorios, Avgoustou Eirini, Papadopoulos Ioannis, Papadopoulos Antonios, Athanasakos Athanasios, Athanasiadis Elias, Vassilara Foula
5th Department of Internal Medicine Hygeia Hospital, Athens, Greece.
4th Department of Internal Medicine Medical School University Hospital "ATTIKON" National and Kapodistrian University of Athens, Athens, Greece.
Case Rep Infect Dis. 2024 Jul 18;2024:9443664. doi: 10.1155/2024/9443664. eCollection 2024.
Ischemic bowel disease is considered a high-risk factor for infection from anaerobic bacteria, as the ischemic bowel is the perfect ground for their development. Herein, we present the case of an advance stage colon cancer patient with a rare cause of gastrointestinal bleeding and bacteremia due to , a rare anaerobic Gram-positive bacterium. The patient had presented with several episodes of hematochezia in the context of chronic superior mesenteric-portal vein tumor thrombosis and rupture of ectopic varices, and the bacteremia was an unexpected complication of the bowel ischemia due to a combination of arterial ischemia and venous congestion.
缺血性肠病被认为是厌氧细菌感染的高危因素,因为缺血肠是它们生长的理想环境。在此,我们报告一例晚期结肠癌患者,因一种罕见的厌氧革兰氏阳性菌导致胃肠道出血和菌血症,病因罕见。该患者在慢性肠系膜上静脉 - 门静脉肿瘤血栓形成和异位静脉曲张破裂的背景下出现多次便血,菌血症是动脉缺血和静脉淤血共同导致的肠道缺血的意外并发症。