Baptista S B, Duarte F P, Galrinho A, Dutschmann L
Serviço de Medicina 2, Hospital Fernando da Fonseca, Amadora.
Rev Port Cardiol. 1998 Dec;17(12):1025-30.
McNeal and Blevins published the first report of Streptococcus bovis infective endocarditis in 1945. In 1951, McCoy suggested, for the first time, that an association could exist between Group D Streptococcus infective endocarditis and colon carcinoma; this association would be demonstrated later (1977) by Klein and unquestionably confirmed by several posterior works. Due to a clinical case of Streptococcus bovis infective endocarditis, which we had the opportunity of diagnosing, a review is made of the existent literature about the association between infection by this agent and the presence of lesions in the colon. Some recommendations are made in what respects the diagnosis and evaluation of patients with Streptococcus bovis infective endocarditis. Finally, the implications and therapeutic strategies in these patients are discussed.
1945年，麦克尼尔和布莱文斯发表了关于牛链球菌感染性心内膜炎的首份报告。1951年，麦科伊首次提出D组链球菌感染性心内膜炎与结肠癌之间可能存在关联；这种关联后来（1977年）由克莱因证实，并被其后的多项研究确凿地确认。鉴于我们有幸诊断了一例牛链球菌感染性心内膜炎的临床病例，本文对关于该病原体感染与结肠病变之间关联的现有文献进行了综述。在牛链球菌感染性心内膜炎患者的诊断和评估方面提出了一些建议。最后，讨论了这些患者的影响及治疗策略。
