Bacteremia from streptococcus constellatus revealing a gastrointestinal stromal tumor

IF 4.3 3区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Gut Pathogens Pub Date : 2024-01-04 DOI:10.1186/s13099-023-00593-6

Salvatore Chessa, Elena Belfiori, Giulia Mandis, Enrico Urru, Giovanna Manconi, Angelo Scuteri

引用次数: 0

Abstract

Pyogenic Liver Abscesses (PLA) are the most common type of visceral abscess. They generally develop in a context of biliary disease or hematogenous seeding, but a complete diagnostic work-up is always required in order not to miss other important causes, including above all malignancies of the gastro-intestinal tract. Herein, we report a particular case of a 80 years-old immunocompetent woman hospitalized for sepsis. At the end of the diagnostic process, Streptococcus constellatus (Sc) was identified as the cause of sepsis, multiple PLA were found together with a previous unknown ileal malignancy. We speculated about a possible correlation among these three entities (i.e. sepsis from Sc, PLA and tumors). Detection of Sc in blood should raise red flags in clinicians as aggressive clinical presentation are possible.

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揭示胃肠道间质瘤的星座链球菌菌血症

化脓性肝脓肿（PLA）是最常见的内脏脓肿类型。它们通常是在胆道疾病或血源性播散的情况下发生的，但为了不遗漏其他重要病因，包括胃肠道恶性肿瘤，必须进行全面的诊断检查。在此，我们报告了一例因败血症住院的 80 岁免疫功能正常妇女的病例。在诊断过程的最后阶段，我们发现溃疡链球菌（Sc）是导致败血症的原因，同时还发现了多个 PLA 以及之前未知的回肠恶性肿瘤。我们推测这三个实体（即由 Sc、PLA 和肿瘤引起的败血症）之间可能存在关联。在血液中检测到Sc应引起临床医生的警惕，因为可能会出现侵袭性临床表现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gut Pathogens GASTROENTEROLOGY & HEPATOLOGY-MICROBIOLOGY

CiteScore

7.70

自引率

2.40%

发文量

期刊介绍： Gut Pathogens is a fast publishing, inclusive and prominent international journal which recognizes the need for a publishing platform uniquely tailored to reflect the full breadth of research in the biology and medicine of pathogens, commensals and functional microbiota of the gut. The journal publishes basic, clinical and cutting-edge research on all aspects of the above mentioned organisms including probiotic bacteria and yeasts and their products. The scope also covers the related ecology, molecular genetics, physiology and epidemiology of these microbes. The journal actively invites timely reports on the novel aspects of genomics, metagenomics, microbiota profiling and systems biology. Gut Pathogens will also consider, at the discretion of the editors, descriptive studies identifying a new genome sequence of a gut microbe or a series of related microbes (such as those obtained from new hosts, niches, settings, outbreaks and epidemics) and those obtained from single or multiple hosts at one or different time points (chronological evolution).