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http://hdl.handle.net/2445/201565
Title: | Relationship among Streptococcus gallolyticus Subsp. gallolyticus, Enterococcus faecalis and Colorectal Neoplasms in Recurrent Endocarditis: A Historical Case Series. |
Author: | Romay, Eva Pericàs, Juan M. García País, María José Hernández-Meneses, Marta Ayuso, Blanca García González, Javier Garcés-Durán, Rodrigo Rabuñal Rey, Ramón Alonso García, Pilar García Garrote, Fernando Perissinotti, Andrés Vidal, Bàrbara Falces Salvador, Carles Quintana, Eduard Moreira Ruiz, Leticia Almela, M. (Manel) Llach Vila, Josep Moreno, Asunción Corredoira, Juan Miró Meda, José M. |
Keywords: | Endocarditis Càncer colorectal Colonoscòpia Estreptococs Endocarditis Colorectal cancer Colonoscopy Streptococcus |
Issue Date: | 13-Apr-2022 |
Publisher: | MDPI |
Abstract: | Objectives: The role of colorectal neoplasms (CRN) as a common potential source of recurrent Streptococcus gallolyticus subsp. gallolyticus (SGG) and Enterococcus faecalis (EF) endocarditis remains unstudied. We aimed to investigate what proportion of episodes of recurrent endocarditis are caused by a succession of SGG and EF, or vice versa, and to assess the role of a colonic source in such recurrent episodes. Methods: we conducted a retrospective analysis of two prospective endocarditis cohorts (1979-2019) from two Spanish hospitals, providing descriptive analyses of the major features of the endocarditis episodes, colonoscopy findings, and histologic results. Results: among 1552 IE episodes, 204 (13.1%) were caused by EF and 197 (12.7%) by SGG, respectively. There were 155 episodes (10%) of recurrent IE, 20 of which (12.9%) were due to a succession of SGG/EF IE in 10 patients (the first episode caused by SGG in eight cases, and by EF in two cases). The median follow-up was 86 (interquartile range 34-156) months. In 8/10 initial episodes, the causative microorganism was SGG, and all patients were diagnosed with CRN either during the initial episode or during follow-up. During the second episode of IE or follow-up, colonoscopies revealed CRN in six patients. Conclusions: There seems to be an association between SGG and EF in recurrent endocarditis that warrants further investigation. Our findings reinforce the need for systematically performing colonoscopy in the event of endocarditis caused by both microorganisms. |
Note: | Reproducció del document publicat a: https://doi.org/10.3390/jcm11082181 |
It is part of: | Journal of Clinical Medicine, 2022, vol. 11, num. 8, p. 2181 |
URI: | http://hdl.handle.net/2445/201565 |
Related resource: | https://doi.org/10.3390/jcm11082181 |
ISSN: | 2077-0383 |
Appears in Collections: | Articles publicats en revistes (Medicina) Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) |
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