Streptococcus gallolyticus bacteremia detected in apheresis platelets and its link to colonic neoplasms
J. coloproctol. (Rio J., Impr.)
; 42(3): 273-276, July-Sept. 2022. ilus
Article
in En
| LILACS
| ID: biblio-1421984
Responsible library:
BR545.3
ABSTRACT
Introduction:
Streptococcus gallolyticus belongs to theStreptococcus bovis complex, and it is a common bacterium colonizing the gastrointestinal tract. Its presence in the blood may suggest an underlying pathology such as a colonic neoplasm. We report herein a case of S. bovis bacteremia in an apheresis platelet donor, review similar cases in the literature, and suggest a flowchart for the management of similar cases in other blood donation centers. Case Presentation A 61-year-old subject presented to a Hemotherapy Service to make an apheresis platelet donation. On quality control testing, S. gallolyticus was identified in hemoculture, and the donor was called back for follow-up. At first, a new hemoculture was requested, and the patient was referred to the outpatient department of infectious diseases to further investigate pathologies associated with S. gallolyticus. A subsequent colonoscopy investigation evidenced a polypoid structure in the ascending colon. Pathology reported the resected specimen as a low-grade tubular adenoma.Conclusion:
Isolation of S. bovis in blood products requires further investigation and should be managed with precision by Hemotherapy Services. A standard protocol for the management of asymptomatic patients with S. bovis positive hemoculture, with the requests of a new blood culture, a colonoscopy, and an echocardiogram is crucial, as it may ensure early diagnosis and reduce morbidity and mortality. (AU)Key words
Full text:
1
Index:
LILACS
Main subject:
Bacteremia
/
Colonic Neoplasms
/
Streptococcus gallolyticus
Type of study:
Etiology_studies
/
Guideline
/
Prognostic_studies
/
Screening_studies
Limits:
Humans
/
Male
Language:
En
Journal:
J. coloproctol. (Rio J., Impr.)
/
JCOL
/
Journal of coloproctology (Rio de Janeiro. Impresso)
/
Journal of coloproctology (Rio de Janeiro. Online)
Journal subject:
Cirurgia
/
Doenas Retais
/
Doenas do Colo
/
GASTROENTEROLOGIA
/
Cirurgia
Year:
2022
Type:
Article