{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T08:40:06Z","timestamp":1756370406298,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,5,15]]},"abstract":"<jats:p>A 75-year-old woman was admitted to our hospital with a 3-month history of fever. Of note, she had a bioprosthetic mitral valve replacement 1\u2009year prior to admission. <jats:italic>Streptococcus bovis<\/jats:italic> was isolated from three sets of blood cultures. An echocardiogram showed a flickering mass attached to the bioprosthesis. Her blood culture became sterile by the fourth day of ceftriaxone therapy. In spite of the absence of gastrointestinal symptoms, screening colonoscopy revealed an invasive colonic adenocarcinoma. The association linking <jats:italic>S. bovis<\/jats:italic> endocarditis and colonic tumours is well recognised. However, despite early reports of this association by Klein <jats:italic>et al<\/jats:italic> in 1979, a large number of practising physicians remain unaware of this phenomenon. This lack of awareness results in lost opportunities for early diagnosis and, consequently, improved outcome in such patients. Our report emphasises this association in an area with a low incidence of <jats:italic>S. bovis<\/jats:italic> endocarditis.<\/jats:p>","DOI":"10.1136\/bcr-2017-219488","type":"journal-article","created":{"date-parts":[[2017,5,29]],"date-time":"2017-05-29T01:45:14Z","timestamp":1496022314000},"page":"bcr-2017-219488","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["<i>Streptococcus bovis<\/i> prosthetic valve endocarditis associated with silent colonic carcinoma"],"prefix":"10.1136","volume":"2017","author":[{"given":"Fatehi E","family":"Elzein","sequence":"first","affiliation":[{"name":"Department of Medicine, Prince Sultan Military Medical City, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M Yasin","family":"Akhtar","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hatim","family":"Khairallah","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Prince Sultan Cardiac Center, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Albenmousa","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Prince Sultan Military Medical City, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,5,28]]},"reference":[{"key":"2025082801262522000_2017.may28_1.bcr-2017-219488.1","first-page":"1","article-title":"Streptococcus bovis: 100 years of an intriguing pathogen","volume":"39","author":"Corredoira","year":"2017","journal-title":"Clin Microbiol\u00a0Newsletter"},{"key":"2025082801262522000_2017.may28_1.bcr-2017-219488.2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir609"},{"key":"2025082801262522000_2017.may28_1.bcr-2017-219488.3","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2008.603"},{"key":"2025082801262522000_2017.may28_1.bcr-2017-219488.4","doi-asserted-by":"crossref","unstructured":"Corredoira J , Grau I , Garcia-Rodriguez JF , et al . 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