Streptococcus gallolyticus Subspecies pasteurianus 균혈증을 동반한 대장암 1예
A Case of Colon Cancer Associated with Streptococcus gallolyticus Subspecies pasteurianus Bacteremia
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초록
Streptococcus gallolyticus subsp. pasteurianus는 Streptococcus bovis biotype II/2로, 외국에서는 Streptococcus gallolyticus subsp. pasteurianus 균혈증 환자에게서 대장암이 발견된 증례가 있으나 국내에서는 아직 보고된 바가 없다. 이에 저자들은 허리통증, 발열을 주소로 내원한 환자에서 Streptococcus gallolyticus subsp. pasteurianus 균을 동정하였고 대장내시경을 시행하여 동반된 대장암을 진단한 환자를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Streptococcus Gallolyticus subspecies pasteurianus is a biotype II/2 of Streptococcus bovis. Although there is a clear correlation between Streptococcus bovis bacteremia and the risk of developing colon cancer, the relationship between Streptococcus gallolyticus subspecies pasteurianus bacteremia and colon cancer is not clear. We report a 53-year-old female who initially presented with fever and low back pain. Streptococcus gallolyticus subspecies pasteurianus was isolated in blood cultures, so we performed a colonoscopy and discovered colon cancer.
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