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Empiric intravenous ceftriaxone was started, but after an initial improvement, fever relapsed 2\u2005days after stopping antibiotherapy. A CT scan showed multiple disseminated lesions, suggesting lung metastatic tumour. Further studies excluded malignancy and revealed TVE caused by<jats:italic>Streptococcus bovis<\/jats:italic>with pulmonary embolism. The aim of our study is to stress the importance of evoking TVE in the differential diagnosis of fever with lung manifestations, and to highlight the possible association between<jats:italic>S bovis<\/jats:italic>, colorectal cancer and liver disease.<\/jats:p>","DOI":"10.1136\/bcr-2014-203668","type":"journal-article","created":{"date-parts":[[2014,2,21]],"date-time":"2014-02-21T10:27:56Z","timestamp":1392978476000},"page":"bcr2014203668","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Keeping track of migratory pulmonary lesions"],"prefix":"10.1136","volume":"2014","author":[{"given":"In\u00eas Mateus","family":"Patr\u00edcio","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisca","family":"Caetano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joana Carrington","family":"Queir\u00f3","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Marado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,2,21]]},"reference":[{"key":"2025042702423927000_2014.feb21_1.bcr2014203668.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2008.07.018"},{"key":"2025042702423927000_2014.feb21_1.bcr2014203668.2","doi-asserted-by":"publisher","DOI":"10.1136\/heart.84.1.25"},{"key":"2025042702423927000_2014.feb21_1.bcr2014203668.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra010082"},{"key":"2025042702423927000_2014.feb21_1.bcr2014203668.4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.1.75"},{"key":"2025042702423927000_2014.feb21_1.bcr2014203668.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)15266-X"},{"key":"2025042702423927000_2014.feb21_1.bcr2014203668.6","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-003-0080-6"},{"key":"2025042702423927000_2014.feb21_1.bcr2014203668.7","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehp285"},{"key":"2025042702423927000_2014.feb21_1.bcr2014203668.8","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.1.75"},{"key":"2025042702423927000_2014.feb21_1.bcr2014203668.9","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197710132971503"},{"key":"2025042702423927000_2014.feb21_1.bcr2014203668.10","doi-asserted-by":"publisher","DOI":"10.1053\/jinf.2001.0799"},{"key":"2025042702423927000_2014.feb21_1.bcr2014203668.11","doi-asserted-by":"publisher","DOI":"10.1086\/392503"},{"key":"2025042702423927000_2014.feb21_1.bcr2014203668.12","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1093\/oxfordjournals.eurheartj.a060961","article-title":"Identification of high-risk sub-groups in infective endocarditis and the role of echocardiography","volume":"16","author":"Erbel","year":"1995","journal-title":"Eur Heart J"},{"key":"2025042702423927000_2014.feb21_1.bcr2014203668.13","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(01)01914-2"},{"key":"2025042702423927000_2014.feb21_1.bcr2014203668.14","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.104.493155"},{"key":"2025042702423927000_2014.feb21_1.bcr2014203668.15","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1136\/hrt.80.3.276","article-title":"Clinical and morphological characteristics in Streptococcus bovis endocarditis: a comparison with other causative microorganisms in 177 cases","volume":"80","author":"Kupferwasser","year":"1998","journal-title":"Heart"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-203668","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:42:50Z","timestamp":1745746970000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-203668"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,2,21]]},"references-count":15,"alternative-id":["10.1136\/bcr-2014-203668"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-203668","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2014,2,21]]}}}