title: Streptococcus bovis infectious endocarditis and occult gastrointestinal neoplasia: experience with 25 consecutive patients treated surgically.
abstract: To assess the prevalence of gastrointestinal neoplasia in patients with Streptococcus bovis infectious endocarditis we performed a retrospective cohort analysis of all episodes of S. bovis infectious endocarditis treated at our institution between January 2000 through December 2014. Twenty-five patients were identified for this purpose. 12/25 patients received colonoscopy and 1/25 of the patients was assessed with CT colonography. Of the 13 who underwent colonic assessment, 11 were diagnosed with colonic neoplasms at different stages of development. In the absence of any strong contraindication, gastroenteroscopic evaluation in all patients diagnosed with S. bovis infectious endocarditis should be pursued.
authors.affiliation: Department of Cardiac Surgery, University Heart Center Rostock, Schillingallee 35, 18057 Rostock, Germany.
authors.forename: Anthony
authors.initials: A
authors.lastname: Alozie
authors.affiliation: Institute of Medical Microbiology, Virology and Hygiene, University Hospital Rostock, Schillingallee 70, 18055 Rostock, Germany.
authors.forename: Kerstin
authors.initials: K
authors.lastname: Köller
authors.affiliation: Department of Cardiac Surgery, University Heart Center Rostock, Schillingallee 35, 18057 Rostock, Germany.
authors.forename: Lumi
authors.initials: L
authors.lastname: Pose
authors.affiliation: Department of Cardiac Surgery, University Heart Center Rostock, Schillingallee 35, 18057 Rostock, Germany.
authors.forename: Maximilian
authors.initials: M
authors.lastname: Raftis
authors.affiliation: Department of Cardiac Surgery, University Heart Center Rostock, Schillingallee 35, 18057 Rostock, Germany.
authors.forename: Gustav
authors.initials: G
authors.lastname: Steinhoff
authors.affiliation: Department of Cardiac Surgery, University Heart Center Rostock, Schillingallee 35, 18057 Rostock, Germany.
authors.forename: Bernd
authors.initials: B
authors.lastname: Westphal
authors.affiliation: Zentrum für Innere Medizin, Klinik II -Abteilung für Gastroenterology, Ernst-Heydemann-Str. 6, 18057 Rostock, Germany.
authors.forename: Georg
authors.initials: G
authors.lastname: Lamprecht
authors.affiliation: Institute of Medical Microbiology, Virology and Hygiene, University Hospital Rostock, Schillingallee 70, 18055 Rostock, Germany.
authors.forename: Andreas
authors.initials: A
authors.lastname: Podbielski
keywords: Colonic neoplasia; Infectious endocarditis; Streptococcus bovis