Back to Search
Start Over
Streptococcus gallolyticus Bacteremia Detected in Apheresis Platelets and Its Link to Colonic Neoplasms
- Source :
- Journal of Coloproctology, Vol 42, Iss 03, Pp 273-276 (2022)
- Publication Year :
- 2022
- Publisher :
- Thieme Revinter Publicações Ltda., 2022.
-
Abstract
- Introduction Streptococcus gallolyticus belongs to the Streptococcus bovis complex, and it is a common bacterium colonizing the gastrointestinal tract. Its presence in the blood may suggest an underlying pathology such as a colonic neoplasm. We report herein a case of S. bovis bacteremia in an apheresis platelet donor, review similar cases in the literature, and suggest a flowchart for the management of similar cases in other blood donation centers. Case Presentation A 61-year-old subject presented to a Hemotherapy Service to make an apheresis platelet donation. On quality control testing, S. gallolyticus was identified in hemoculture, and the donor was called back for follow-up. At first, a new hemoculture was requested, and the patient was referred to the outpatient department of infectious diseases to further investigate pathologies associated with S. gallolyticus. A subsequent colonoscopy investigation evidenced a polypoid structure in the ascending colon. Pathology reported the resected specimen as a low-grade tubular adenoma. Conclusion Isolation of S. bovis in blood products requires further investigation and should be managed with precision by Hemotherapy Services. A standard protocol for the management of asymptomatic patients with S. bovis positive hemoculture, with the requests of a new blood culture, a colonoscopy, and an echocardiogram is crucial, as it may ensure early diagnosis and reduce morbidity and mortality.
Details
- Language :
- English
- ISSN :
- 22379363 and 23176423
- Volume :
- 42
- Issue :
- 03
- Database :
- Directory of Open Access Journals
- Journal :
- Journal of Coloproctology
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.8211a0545a049d0b014abd7df03e210
- Document Type :
- article
- Full Text :
- https://doi.org/10.1055/s-0042-1754384