{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:17:56Z","timestamp":1762431476026,"version":"build-2065373602"},"reference-count":16,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,6,18]]},"abstract":"<jats:p>Although the link between <jats:italic>Streptococcus bovis<\/jats:italic> bacteraemia and colon cancer is well established, bacteraemia from other viridans group streptococci that commonly colonise colonic mucosa may also herald occult malignancy. We present a case of <jats:italic>Streptococcus sanguinis<\/jats:italic> bacteraemia in an elderly man with new anaemia that led to the detection and removal of a high-grade colon neoplasm. This case contributes to a growing body of literature contending that unexplained streptococcal bacteraemia merits a thorough workup that may include relatively invasive procedures such as endoscopy. Diagnostic colonoscopy provides an opportunity to prevent invasive malignancy that may outweigh bleeding and perforation risks in elderly patients.<\/jats:p>","DOI":"10.1136\/bcr-2018-224799","type":"journal-article","created":{"date-parts":[[2018,6,30]],"date-time":"2018-06-30T02:25:22Z","timestamp":1530325522000},"page":"bcr-2018-224799","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Second look at <i>Streptococcus sanguinis<\/i> and the colon"],"prefix":"10.1136","volume":"2018","author":[{"given":"Robert","family":"Thomas","sequence":"first","affiliation":[{"name":"Medicine, University of California San Diego Health System, San Diego, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vineet","family":"Gupta","sequence":"additional","affiliation":[{"name":"Medicine, University of California San Diego Health System, San Diego, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Kwan","sequence":"additional","affiliation":[{"name":"Medicine, University of California San Diego Health System, San Diego, California, USA"},{"name":"Medicine, VA San Diego Healthcare System, San Diego, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,6,29]]},"reference":[{"key":"2025082802571724000_2018.jun29_2.bcr-2018-224799.1","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 State Ala"},{"key":"2025082802571724000_2018.jun29_2.bcr-2018-224799.2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cir609"},{"key":"2025082802571724000_2018.jun29_2.bcr-2018-224799.3","doi-asserted-by":"publisher","DOI":"10.1186\/1756-9966-30-11"},{"key":"2025082802571724000_2018.jun29_2.bcr-2018-224799.4","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2014-203695"},{"key":"2025082802571724000_2018.jun29_2.bcr-2018-224799.5","doi-asserted-by":"crossref","unstructured":"Nijjer S , Dubrey SW . 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