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CC BY-NC-ND 4.0 · Journal of Coloproctology 2022; 42(03): 273-276
DOI: 10.1055/s-0042-1754384
Case Report

Streptococcus gallolyticus Bacteremia Detected in Apheresis Platelets and Its Link to Colonic Neoplasms

Francisco Costa Beber Lemanski 
1   Faculty of Medicine, Universidade de Passo Fundo (UPF), Passo Fundo, RS, Brazil
,
Anna Laura Duro Barp 
1   Faculty of Medicine, Universidade de Passo Fundo (UPF), Passo Fundo, RS, Brazil
,
Gabriela Kohl Hammacher 
1   Faculty of Medicine, Universidade de Passo Fundo (UPF), Passo Fundo, RS, Brazil
,
Martina Estacia Da Cas 
1   Faculty of Medicine, Universidade de Passo Fundo (UPF), Passo Fundo, RS, Brazil
,
Cristine Moratelli Wink 
2   Hemotherapy Department, Hospital São Vicente de Paulo (HSVP), Passo Fundo, RS, Brazil
,
Ana Paula dos Santos Voloski 
2   Hemotherapy Department, Hospital São Vicente de Paulo (HSVP), Passo Fundo, RS, Brazil
,
Adriano Pasqualotti 
3   Graduate Program in Human Aging, Faculty of Physical Education and Physiotherapy, Universidade de Passo Fundo (UPF), Passo Fundo, RS, Brazil
,
Cristiane da Silva Rodrigues de Araújo 
1   Faculty of Medicine, Universidade de Passo Fundo (UPF), Passo Fundo, RS, Brazil
2   Hemotherapy Department, Hospital São Vicente de Paulo (HSVP), Passo Fundo, RS, Brazil
3   Graduate Program in Human Aging, Faculty of Physical Education and Physiotherapy, Universidade de Passo Fundo (UPF), Passo Fundo, RS, Brazil
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Funding All equipment used in this research are property of the Hemotherapy Service of Hospital São Vicente de Paulo. The authors did not receive support from any organization for the submitted work.
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Abstract

Introduction Streptococcus gallolyticus belongs to the Streptococcus bovis complex, and it is a common bacterium colonizing the gastrointestinal tract. Its presence in the blood may suggest an underlying pathology such as a colonic neoplasm. We report herein a case of S. bovis bacteremia in an apheresis platelet donor, review similar cases in the literature, and suggest a flowchart for the management of similar cases in other blood donation centers.

Case Presentation A 61-year-old subject presented to a Hemotherapy Service to make an apheresis platelet donation. On quality control testing, S. gallolyticus was identified in hemoculture, and the donor was called back for follow-up. At first, a new hemoculture was requested, and the patient was referred to the outpatient department of infectious diseases to further investigate pathologies associated with S. gallolyticus. A subsequent colonoscopy investigation evidenced a polypoid structure in the ascending colon. Pathology reported the resected specimen as a low-grade tubular adenoma.

Conclusion Isolation of S. bovis in blood products requires further investigation and should be managed with precision by Hemotherapy Services. A standard protocol for the management of asymptomatic patients with S. bovis positive hemoculture, with the requests of a new blood culture, a colonoscopy, and an echocardiogram is crucial, as it may ensure early diagnosis and reduce morbidity and mortality.

Keywords

Streptococcus gallolyticus - Streptococcus bovis - colonic neoplasm - colorectal cancer - apheresis

Availability of Data and Material

The data regarding the case presentation is available from the corresponding author upon reasonable request. All the literature data analyzed has been included in the present published article.


Code Availability

Not applicable.


Authors' Contributions

All authors contributed to the conception and design of the study. Material preparation and data collection and analysis were performed by Francisco Costa Beber Lemanski, Anna Laura Duro Barp, and Gabriela Kohl Hammacher. The first draft of the manuscript was written by Francisco Costa Beber Lemanski, Anna Laura Duro Barp, Gabriela Kohl Hammacher, Martina Estacia da Cas, Ana Paula dos Santos Voloski, and Cristine Moratelli Wink, and all authors commented on previous versions of the manuscript. Supervision was performed by Cristiane da Silva Rodrigues de Araújo and Adriano Pasqualotti. All authors read and approved the final manuscript.


Ethics Approval

All procedures involving human participants were performed in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The present study was approved by the Committee for Ethics in Research (CEP) of Hospital São Vicente de Paulo (No. 4.237.941).


Consent to Participate

Informed consent was obtained from the participant included in the study.


Consent for Publication

The participant has consented to the submission of the case report to the journal.




Publikationsverlauf

Eingereicht: 09. Mai 2022

Angenommen: 07. Juni 2022

Artikel online veröffentlicht:
20. Juli 2022

© 2022. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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