Cor Vasa 2020, 62(5):517-519 | DOI: 10.33678/cor.2019.089

Enterococcus faecalis infective endocarditis associated with colorectal cancer: A case report

Soheil Ebrahimpour^a, Mohammad Reza Hasanjani Roushan^a, Zeinab Mohseni Afshar^b, Arefeh Babazadeh^a

^a Infectious Diseases and Tropical Medicine Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. Iran

^b Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran

Several studies have presented Enterococcus faecalis ( E. faecalis) endocarditis is the third leading source of infective endocarditis (IE). Besides, there have been several evidence in favor of relation between enterococcal IE and colorectal cancer (CRC). We report a patient with E. faecalis endocarditis associated with CRC. A 71-year-old male known to have a fever, dyspnea, orthopnea, cough, mild hemoptysis, intermittent rectorrhagea, pale conjunctivae, fine crackle, and typical sound of the artificial valve. He was diagnosed to have E. faecalis bacteremia and subsequent endocarditis. Also, colonoscopy was performed for him that reported a large obstructive malignant ulcer at hepatic flexure. The biopsy result was adenocarcinoma. The colorectal surgery team did a partial colectomy. Besides, he was treated for endocarditis. The colonoscopy screening in the patients of E. faecalis infection and endocarditis for the rule out of the diagnosis of CRC is emphasized.

Keywords: Colonoscopy, Colorectal cancer, Enterococcus faecalis infective endocarditis

Received: April 17, 2019; Revised: December 7, 2019; Accepted: December 20, 2019; Published: November 1, 2020  Show citation