Friedrich I A, Wormser G P, Gottfried E B
Am J Gastroenterol. 1982 Feb;77(2):82-4.
We prospectively studied five patients with a remote history of Streptococcus bovis bacteremia who had not previously been evaluated for colonic pathology. This study was prompted by several reports of concomitant neoplasia in patients with recent S. bovis bacteremia. The patients were studied at a mean of 32 months after bacteremia. Despite the absence of other signs or symptoms suggestive of bowel disease, a negative test for occult blood in stool and a negative fecal culture for S. bovis, two patients were found to have neoplastic polyps of the colon. These findings suggest that the risk of colonic neoplasia in patients with remote S. bovis septicemia is similar to that found in patients with recent bacteremia, but evaluation of a larger group of these patients will be necessary to establish this risk.
我们前瞻性地研究了5例有牛链球菌菌血症既往史但此前未接受过结肠病理评估的患者。这项研究是由几篇关于近期牛链球菌菌血症患者合并肿瘤形成的报告引发的。这些患者在菌血症发生后平均32个月接受了研究。尽管没有其他提示肠道疾病的体征或症状，粪便潜血试验阴性且粪便牛链球菌培养阴性，但仍有2例患者被发现患有结肠肿瘤性息肉。这些发现表明，有牛链球菌败血症既往史的患者发生结肠肿瘤的风险与近期菌血症患者相似，但需要对更多此类患者进行评估以确定这种风险。
