{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:10:02Z","timestamp":1745763002153,"version":"3.40.4"},"reference-count":22,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,6,8]]},"abstract":"<jats:p>The authors describe the case of a 48-year-old woman presenting with fever, joint pain and migratory skin lesions. She had no other symptoms or medical history. After an extensive and inconclusive work up, she was admitted to the hospital for further study. This patient was ultimately found to have<jats:italic>Streptococcus gallolyticus<\/jats:italic>subsp<jats:italic>gallolyticus<\/jats:italic>bacteraemia<jats:italic>.<\/jats:italic>This finding led to the diagnosis of mitral valve infective endocarditis related to an underlying rectum adenocarcinoma. This article points out diagnostic difficulties related to an unusual presentation of the underlying disease. Furthermore, the authors reinforce the need of keeping a high level of suspicion and a systematic approach in every case of fever of unknown origin. This case highlights the importance of performing a colonoscopy in the event of<jats:italic>S. gallolyticus<\/jats:italic>subsp<jats:italic>gallolyticus<\/jats:italic>bacteraemia, as it may provide an opportunity for detecting colonic lesions at an earlier stage.<\/jats:p>","DOI":"10.1136\/bcr-2014-208998","type":"journal-article","created":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:37:19Z","timestamp":1448930239000},"page":"bcr2014208998","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Streptococcus gallolyticus<\/i>: a single bacteria, two different conditions"],"prefix":"10.1136","volume":"2015","author":[{"given":"Cristiano","family":"Silva Cruz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catarina","family":"Machado","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9","family":"Almeida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Barata Moura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,7,1]]},"reference":[{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.1","doi-asserted-by":"crossref","first-page":"1115","DOI":"10.1126\/science.1058709","article-title":"Commensal host-bacterial relationships in the gut","volume":"292","author":"Hooper","year":"2011","journal-title":"Science"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.2","doi-asserted-by":"publisher","DOI":"10.1111\/1751-2980.12059"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.3","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1053\/jinf.2001.0799","article-title":"Prevalence of liver disease in patients with Streptococcus bovis bacteraemia","volume":"42","author":"Gonzlez-Quintela","year":"2011","journal-title":"J Infec"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.4","doi-asserted-by":"crossref","first-page":"696","DOI":"10.1128\/jcm.17.4.696-697.1983","article-title":"Association of Streptococcus bovis bacteremia with bowel disease","volume":"17","author":"Reynolds","year":"1983","journal-title":"J Clin Microbiol"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.5","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir609"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.6","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-007-0441-y"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.7","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-005-1314-x"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.8","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.05635-11"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.24.3012"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.10","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2008.603"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.11","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(01)01914-2"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.12","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1093\/oxfordjournals.eurheartj.a060923","article-title":"Characteristics of infective endocarditis in France in 1991. A 1-year survey","volume":"16","author":"Delahaye","year":"1995","journal-title":"Eur Heart J"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.13","doi-asserted-by":"publisher","DOI":"10.1001\/jama.288.1.75"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.14","first-page":"162","article-title":"Enterococcal endocarditis associated with carcinoma of the sigmoid; report of a case","volume":"21","author":"McCoy","year":"1951","journal-title":"J Med Assoc Ala"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.15","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-81-5-588"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.16","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197710132971503"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2009.01814.x"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.18","first-page":"42","article-title":"The association of Streptococcus bovis fecal carriage and colon neoplasia: possible relationship with polyps and their premalignant potential","volume":"80","author":"Burns","year":"1985","journal-title":"Am J Gastroenterol"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.19","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.51.6.473"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.20","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/jiq169"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.21","first-page":"162","article-title":"Carcinoma of the colon 2 years after endocarditis due to Streptococcus bovis","volume":"78","author":"Robbins","year":"1983","journal-title":"Am J Gastroenterol"},{"key":"2025042706395389000_2015.jul01_2.bcr2014208998.22","first-page":"439","article-title":"Streptococcus bovis bacteraemia requires rigorous exclusion of colonic neoplasia and endocarditis","volume":"56","author":"Beeching","year":"1985","journal-title":"Q J Med"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-208998","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T13:40:01Z","timestamp":1745761201000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-208998"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,1]]},"references-count":22,"alternative-id":["10.1136\/bcr-2014-208998"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-208998","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2015,7,1]]}}}