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Case Reports in Infectious Diseases
Volume 2016 (2016), Article ID 2670307, 4 pages
Case Report

Native Valve Streptococcus bovis Endocarditis and Refractory Transfusion Dependent Iron Deficiency Anaemia Associated with Concomitant Carcinoma of the Colon: A Case Report and Review of the Literature

1Department of Internal Medicine, Dr Neville Fernando Teaching Hospital, Millennium Drive, Chandrika Kumaratunga Mawatha, 10115 Malabe, Sri Lanka
2South Asian Institute of Technology and Medicine, Millennium Drive, Chandrika Kumaratunga Mawatha, 10115 Malabe, Sri Lanka

Received 25 September 2015; Accepted 16 December 2015

Academic Editor: Pau Montesinos Fernández

Copyright © 2016 Abdul Azeez Ahamed Riyaaz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Streptococcus bovis is found as a commensal organism in human gut and may become opportunistically pathogenic. Infective endocarditis is one of the commonest modes of presentation of this infection. The association between Streptococcus bovis endocarditis and colorectal cancer is well recognized. We report a case of Streptococcus bovis endocarditis along with a refractory iron deficiency anaemia associated with concomitant carcinoma of ascending colon in a 63-year-old male. Cooccurrence of these two conditions may cause a challenge in the management. Considering the strong association of colon cancer with Streptococcus bovis endocarditis, a detailed screening colonoscopy is mandatory following the diagnosis of the latter.