Streptococcus bovis/Streptococcus equinus complex fecal carriage, colorectal carcinoma, and infective endocarditis: a new appraisal of a complex connection

The proportion of group D streptococcal infective endocarditis (IE) (predominantly due to Streptococcus gallolyticus ) and the incidence of colorectal cancer are higher in France than in most European countries. We assumed that this could be explained by a high group D streptococci (GDS) fecal carri...

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Veröffentlicht in:European journal of clinical microbiology & infectious diseases 2013-09, Vol.32 (9), p.1171-1176
Hauptverfasser: Chirouze, C., Patry, I., Duval, X., Baty, V., Tattevin, P., Aparicio, T., Pagenault, M., Carbonnel, F., Couetdic, G., Hoen, B.
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container_title European journal of clinical microbiology & infectious diseases
container_volume 32
creator Chirouze, C.
Patry, I.
Duval, X.
Baty, V.
Tattevin, P.
Aparicio, T.
Pagenault, M.
Carbonnel, F.
Couetdic, G.
Hoen, B.
description The proportion of group D streptococcal infective endocarditis (IE) (predominantly due to Streptococcus gallolyticus ) and the incidence of colorectal cancer are higher in France than in most European countries. We assumed that this could be explained by a high group D streptococci (GDS) fecal carriage rate. The aims of this study were to re-assess the GDS fecal carriage rate in France and its relationship with colorectal cancer. Consecutive adult subjects who were to undergo a complete colonoscopy were invited to participate. GDS were searched in subjects’ stools before their colonoscopy using biomolecular techniques. Colonoscopic findings were sorted into four subgroups: normal colonoscopy, non-tumoral lesions, benign tumors, and premalignant/malignant tumors. GDS fecal carriages were calculated overall and in each subgroup and compared. The data from 259 subjects were analyzed. GDS were identified in the feces of 12 subjects, with the following distribution: S. lutetiensis ( n  = 9), S. pasteurianus ( n  = 2), and S. gallolyticus ( n  = 1). This accounted for an overall GDS fecal carriage rate of 4.6 %. The GDS fecal carriage rate was 6 % in case of normal colonoscopy, 1.3 % in case of non-tumoral lesions, 3.2 % in case of benign tumors, and 11 % in case of premalignant/malignant tumors. These four percentages were not statistically different. The GDS fecal carriage rate was lower than expected, which did not confirm our working hypothesis. Most strains belonged to S. bovis biotype II, while S. gallolyticus was found only once. These findings suggest that different GDS play different roles in the etiopathogenesis of IE and colorectal cancer.
doi_str_mv 10.1007/s10096-013-1863-3
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identifier ISSN: 0934-9723
ispartof European journal of clinical microbiology & infectious diseases, 2013-09, Vol.32 (9), p.1171-1176
issn 0934-9723
1435-4373
language eng
recordid cdi_hal_primary_oai_HAL_hal_00935825v1
source MEDLINE; SpringerNature Journals
subjects Adult
Aged
Aged, 80 and over
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Cardiology. Vascular system
Carrier State
Colonoscopy
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - epidemiology
Colorectal Neoplasms - microbiology
Disease
Endocardial and cardiac valvular diseases
Endocarditis
Endocarditis, Bacterial - epidemiology
Endocarditis, Bacterial - microbiology
Feces
Feces - microbiology
Female
Gastroenterology
Gastroenterology. Liver. Pancreas. Abdomen
Heart
Hospitals
Human health and pathology
Humans
Hypotheses
Infectious diseases
Internal Medicine
Lesions
Life Sciences
Male
Medical Microbiology
Medical sciences
Middle Aged
Prospective Studies
RNA, Ribosomal, 16S - genetics
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Streptococcal Infections - epidemiology
Streptococcal Infections - microbiology
Streptococcus
Streptococcus bovis
Streptococcus bovis - isolation & purification
Streptococcus equi - isolation & purification
Streptococcus equinus
Streptococcus gallolyticus
Tumors
Young Adult
title Streptococcus bovis/Streptococcus equinus complex fecal carriage, colorectal carcinoma, and infective endocarditis: a new appraisal of a complex connection
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