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Streptococcus bovis bacteremia as the initial presentation of carcinoma of the gallbladder.
[carcinoma of the gallbladder]
There
is
a
well
known
association
between
Streptococcus
bovis
infection
and
the
presence
of
a
coexisting
colonic
adenocarcinoma
.
Association
of
S
.
bovis
with
other
malignancies
has
only
been
rarely
reported
.
We
report
a
77
-
year
-old
male
who
presented
with
with
Streptococcus
bovis
bacteremia
in
the
setting
of
acute
cholecystitis
.
Given
the
association
of
colon
adenocarcinoma
and
Streptococcus
bovis
bacteremia
,
colonoscopy
was
performed
prior
to
cholecystectomy
to
evaluate
a
possible
coexisting
colon
neoplasm
,
which
was
negative
.
At
cholecystectomy
,
the
patient
was
found
to
have
a
carcinoma
of
the
gallbladder
,
which
was
treated
with
radical
cholecystectomy
and
periportal
lymphadenectomy
.
This
is
the
first
case
of
Streptococcus
bovis
infection
and
coexisting
gallbladder
cancer
to
be
reported
,
and
highlights
the
need
for
maintenance
of
a
high
index
of
suspicion
for
malignancies
other
than
colon
cancer
when
patients
present
with
Streptococcus
bovis
bacteremia
.
Diseases
Validation
Diseases presenting
"first case"
symptom
achondroplasia
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
carcinoma of the gallbladder
child syndrome
cholangiocarcinoma
classical phenylketonuria
coats disease
cohen syndrome
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
esophageal adenocarcinoma
esophageal carcinoma
fabry disease
familial mediterranean fever
focal myositis
gm1 gangliosidosis
harlequin ichthyosis
hodgkin lymphoma, classical
homocystinuria without methylmalonic aciduria
junctional epidermolysis bullosa
kabuki syndrome
krabbe disease
lamellar ichthyosis
legionellosis
liposarcoma
locked-in syndrome
malignant atrophic papulosis
monosomy 21
neonatal adrenoleukodystrophy
oculocutaneous albinism
omenn syndrome
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
systemic capillary leak syndrome
thoracic outlet syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
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