Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
Case Report
A case of advanced colonic cancer discovered by bacteremia caused by Streptococcus bovis
Hirotaka OtaAzumi KudoMayumi IdeRyusuke ShimadaHidesato TanabeOsamu IkezakiEri KondoMasaaki YokoyamaKoichi TabeiTakashi YamaguchiToru HaradaTakashi NikaidoOsamu YanagidaShin'ichi Takahashi
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2020 Volume 96 Issue 1 Pages 173-175

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Abstract

The patient was a 66-year-old woman who had not been to the hospital or taking any medication. She visited our hospital with chief complaints of fever, headache, and general malaise. Blood tests showed an abnormally high inflammatory response. Chest, abdominal, and pelvic plain CT did not reveal any obvious abnormalities that could cause inflammation.

Streptococcus bovis was detected in blood cultures. Because of the high incidence of colorectal lesions related with the bacterium, a lower gastrointestinal endoscopy showed an advanced colonic cancer in the ascending colon. A laparoscopically assisted right hemicolectomy was performed.

It is a rare case of advanced colorectal cancer discovered by bacteremia caused by S. bovis.

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© 2020 Japan Gastroenterological Endoscopy Society Kanto Chapter
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