Clinically occult rectal carcinoma identified in a case of Streptococcus bovis Endocarditis on fluorodeoxyglucose positron emission tomography/computed tomography: A case report and review of literature

Piyush Chandra, Satish Nath, Senthil Kumar

Indian Journal of Nuclear Medicine 2017 32(4):345-347

Numerous studies over past four decades have implicated a strong association of Streptoccus bovis infection with colorectal carcinomas. Strong is this association that a screening colonoscopy for identifying malignancy is considered mandatory in patients whose blood/fecal cultures show growth of this particular pathogen. Here, we report an interesting case of a 61-year-old female patient who presented with pyrexia of unknown origin for 3 weeks. Positron emission tomography/computed tomography, in addition to helping diagnose mitral valve endocarditis, also identified a clinically occult T2N0 rectal carcinoma.

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