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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
"well known association"
symptom
carcinoma of the gallbladder
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