title: Native Valve Streptococcus bovis Endocarditis and Refractory Transfusion Dependent Iron Deficiency Anaemia Associated with Concomitant Carcinoma of the Colon: A Case Report and Review of the Literature.
abstract: Streptococcus bovis is found as a commensal organism in human gut and may become opportunistically pathogenic. Infective endocarditis is one of the commonest modes of presentation of this infection. The association between Streptococcus bovis endocarditis and colorectal cancer is well recognized. We report a case of Streptococcus bovis endocarditis along with a refractory iron deficiency anaemia associated with concomitant carcinoma of ascending colon in a 63-year-old male. Cooccurrence of these two conditions may cause a challenge in the management. Considering the strong association of colon cancer with Streptococcus bovis endocarditis, a detailed screening colonoscopy is mandatory following the diagnosis of the latter.
authors.affiliation: Department of Internal Medicine, Dr Neville Fernando Teaching Hospital, Millennium Drive, Chandrika Kumaratunga Mawatha, 10115 Malabe, Sri Lanka.
authors.forename: Abdul Azeez
authors.initials: AA
authors.lastname: Ahamed Riyaaz
authors.affiliation: Department of Internal Medicine, Dr Neville Fernando Teaching Hospital, Millennium Drive, Chandrika Kumaratunga Mawatha, 10115 Malabe, Sri Lanka.
authors.forename: Randula
authors.initials: R
authors.lastname: Samarasinghe
authors.affiliation: Department of Internal Medicine, Dr Neville Fernando Teaching Hospital, Millennium Drive, Chandrika Kumaratunga Mawatha, 10115 Malabe, Sri Lanka.
authors.forename: Kolitha
authors.initials: K
authors.lastname: Sellahewa
authors.affiliation: Department of Internal Medicine, Dr Neville Fernando Teaching Hospital, Millennium Drive, Chandrika Kumaratunga Mawatha, 10115 Malabe, Sri Lanka.
authors.forename: Sabaratnam
authors.initials: S
authors.lastname: Sivakumaran
authors.affiliation: South Asian Institute of Technology and Medicine, Millennium Drive, Chandrika Kumaratunga Mawatha, 10115 Malabe, Sri Lanka.
authors.forename: Manjula Sri
authors.initials: MS
authors.lastname: Tampoe