Cited by 378Infective Endocarditis Diagnosis and ManagementStreptococcal Infections and TreatmentsGut microbiota and health

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Clinical Importance of Streptococcus gallolyticus Infection Among Colorectal Cancer Patients: Systematic Review and Meta-analysis

Boleij, Annemarie, van Gelder, Marleen M. H. J., Swinkels, Dorine W., Tjalsma, Harold·2011·Clinical Infectious Diseases

DOI 10.1093/cid/cir609

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Abstract

Background Streptococcus bovis has long been associated with colorectal cancer (CRC). However, not all genospecies are as closely related to CRC. With this systematic review, we aim to increase the awareness of the association between S. bovis biotype I (Streptococcus gallolyticus) and CRC and urge for uniform molecular microbiological classification. Methods In January 2011, the PubMed database was searched for all studies that investigated the association between S. bovis, infective endocarditis (IE), and CRC. A total of 191 studies were screened for eligibility and yielded 52 case reports and 31 case series, of which 11 were used for meta-analysis on the association between S. bovis biotype, IE, and adenomas/carcinomas (CRC). Results Among the S. bovis-infected patients who underwent colonic evaluation, the median percentage of patients who had concomitant adenomas/carcinomas was 60% (interquartile range, 22%), which largely exceeds the disease rate reported in the general asymptomatic population. Meta-analysis showed that patients with S. bovis biotype I infection had a strongly increased risk of having CRC (pooled odds ratio [OR], 7.26; 95% confidence interval [CI], 3.94-13.36) and IE (pooled OR, 16.61; 95% CI, 8.85-31.16), compared with S. bovis biotype II-infected patients. Notably, CRC occurred more often among patients with S. bovis IE than among patients with S. bovis infection at other sites (pooled OR, 3.72; 95% CI, 2.03-6.81). Conclusions Our meta-analysis clearl…

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Authors: Boleij, A., van Gelder, M. M. H. J., Swinkels, D. W., & Tjalsma, H.
Affiliations: Radboud University Medical Center (NL)
ORCID: Boleij, Annemarie
van Gelder, Marleen M. H. J.
Swinkels, Dorine W.
Venue: Clinical Infectious Diseases
Publisher: Oxford University Press (OUP)
Published: 2011-11-01
Volume: 53
Issue: 9
Pages: 870-878
ISSN: 1058-4838 (ISSN-L)
1537-6591
DOI: 10.1093/cid/cir609
OpenAlex: W2121395658
Cited by: 377
References: 66
Citations by year: 2026: 14 · 2025: 17 · 2024: 23 · 2023: 37 · 2022: 34 · 2021: 27 · 2020: 30 · 2019: 31 · 2018: 36 · 2017: 20 · 2016: 21 · 2015: 29 · 2014: 17 · 2013: 24 · 2012: 14
FWCI: 2.19
Type: journal article
Language: en
Open access: closed
Locations: Clinical Infectious Diseases (publishedVersion)
PubMed (publishedVersion)
Radboud Repository (Radboud University) (submittedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Infective Endocarditis Diagnosis and Management
Health Sciences › Medicine › Infectious Diseases › Streptococcal Infections and Treatments
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
Keywords: Streptococcus bovis, colorectal cancer, infective endocarditis, colorectal adenoma, biotype classification, cancer risk
MeSH terms: Aged, Endocarditis, Female, Humans, Male, Middle Aged, Streptococcal Infections, Colorectal Neoplasms, Streptococcus bovis

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Clinical Importance of Streptococcus gallolyticus Infection Among Colorectal Cancer Patients: Systematic Review and Meta-analysis

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