The Korean Journal of Medicine

  • 제85권6호
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  • Pages.644-647
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  • 2013
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  • 1738-9364(pISSN)
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  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
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Streptococcus gallolyticus Subspecies pasteurianus 균혈증을 동반한 대장암 1예

A Case of Colon Cancer Associated with Streptococcus gallolyticus Subspecies pasteurianus Bacteremia

  • 이유호 (경희대학교 의과대학 내과학교실) ;
  • 문수연 (경희대학교 의과대학 내과학교실) ;
  • 이미숙 (경희대학교 의과대학 내과학교실) ;
  • 손준성 (경희대학교 의과대학 내과학교실)
  • Lee, Yu Ho (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Moon, Soo-Youn (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Lee, Mi Suk (Department of Internal Medicine, Kyung Hee University School of Medicine) ;
  • Son, Jun Seong (Department of Internal Medicine, Kyung Hee University School of Medicine)
  • 투고 : 2013.02.17
  • 심사 : 2013.06.26
  • 발행 : 2013.12.01
⟨ 이전 논문 다음 논문 ⟩

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.

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.

키워드

참고문헌

  1. Abdulamir AS, Hafidh RR, Abu Bakar F. The association of Streptococcus bovis/gallolyticus with colorectal tumors: the nature and the underlying mechanisms of its etiological role. J Exp Clin Cancer Res 2011;30:11. https://doi.org/10.1186/1756-9966-30-11
  2. Schlegel L, Grimont F, Ageron E, Grimont PA, Bouvet A. Reappraisal of the taxonomy of the Streptococcus bovis/ Streptococcus equinus complex and related species: description of Streptococcus gallolyticus subsp. gallolyticus subsp. nov., S. gallolyticus subsp. macedonicus subsp. nov. and S. gallolyticus subsp. pasteurianus subsp. nov. Int J Syst Evol Microbiol 2003;53(Pt 3):631-645. https://doi.org/10.1099/ijs.0.02361-0
  3. Klatte JM, Clarridge JE 3rd, Bratcher D, Selvarangan R. A longitudinal case series description of meningitis due to Streptococcus gallolyticus subsp. pasteurianus in infants. J Clin Microbiol 2012;50:57-60. https://doi.org/10.1128/JCM.05635-11
  4. Jeong SR, Park JY, Han SH, et al. First Isolation of Streptococcus gallolyticus subsp. pasteurianus from a Korean patients with severe septic shock. Korean J Clin Microbiol 2011;14:144-147. https://doi.org/10.5145/KJCM.2011.14.4.144
  5. McCOY WC, Mason JM 3rd. Enterococcal endocarditis associated with carcinoma of the sigmoid; report of a case. J Med Assoc State Ala 1951;21:162-166.
  6. Ellmerich S, Scholler M, Duranton B, et al. Promotion of intestinal carcinogenesis by Streptococcus bovis. Carcinogenesis 2000;21:753-756. https://doi.org/10.1093/carcin/21.4.753
  7. Boleij A, van Gelder MM, Swinkels DW, Tjalsma H. Clinical importance of Streptococcus gallolyticus infection among colorectal cancer patients: systematic review and meta-analysis. Clin Infect Dis 2011;53:870-878. https://doi.org/10.1093/cid/cir609
  8. Lazarovitch T, Shango M, Levine M, et al. The relationship between the new taxonomy of Streptococcus bovis and its clonality to colon cancer, endocarditis, and biliary disease. Infection 2013;41:329-337. https://doi.org/10.1007/s15010-012-0314-x
  9. Kwack KK, So SC, Park HK, et al. A case of subacute infective endocarditis with colon cancer caused by Streptococcus bovis. Korean J Med 2000;59:198-202.
  10. Kim SY, Joo SI, Yi J, Kim EC. A case of streptococcus gallolyticus subsp. gallolyticus infective endocarditis with colon cancer: identification by 16S ribosomal DNA sequencing. Korean J Lab Med 2010;30:160-165. https://doi.org/10.3343/kjlm.2010.30.2.160