Streptococcus bovis: 100 Years of an Intriguing Pathogen
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文摘
Streptococcus bovis was described early last century as an inhabitant of the digestive tract of ruminants. Long ignored in the medical literature, in recent years, its importance has been increasingly recognized. Although S. bovis causes only a small proportion of streptococcal infections, the special interest in the organism is due to two fundamental facts. On one hand, S. bovis is a frequent cause of endocarditis, and on the other hand, it is an organism that has been associated unambiguously with colon cancer, along with Clostridium septicum. In addition, new infections caused by these organisms have been described in recent years, including meningitis, bone and joint infections, and neonatal sepsis, as well as an association with non-colorectal cancer. S. bovis consists of several biotypes or (sub)species with different clinical associations. However, microbiology laboratories do not always distinguish S. bovis to the biotype or subspecies level consistently. On the other hand, there have been continuous changes in the taxonomy and nomenclature of these microorganisms. All this has caused confusion among clinicians, which is reflected in the medical literature. This article reviews the clinical and microbiological aspects most relevant for this group of microorganisms.

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