Pyogenic liver abscess presenting after malignant polypectomy.
Streptococcus bovis bacteremia has been linked to the presence of occult colon cancer since 1977. We present a case of pyogenic liver abscess and bacteremia with a different Streptococcus viridans 1 week after colonic adenocarcinoma was removed via polypectomy, discuss the likely etiology and review whether there is evidence to support looking for colon cancer in patients who present similarly but have not already undergone screening.
Harnik
Ian G
IG
The Mount Sinai Hospital, Department of Medicine. Ian.Harnik@mssm.edu
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000368:Aged; D003110:Colonic Neoplasms / Q000473:pathology / Q000601:surgery*; D003113:Colonoscopy / Q000009:adverse effects*; D005500:Follow-Up Studies; D006801:Humans; D008100:Liver Abscess / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D008297:Male; D011183:Postoperative Complications; D013290:Streptococcal Infections / Q000175:diagnosis / Q000209:etiology* / Q000382:microbiology; D034365:Streptococcus constellatus / Q000302:isolation & purification*; D014057:Tomography, X-Ray Computed