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Streptococcus agalactiae Endocarditis: An Association with Villous Adenomas of the Large Intestine

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▸Requests for reprints should be addressed to Gordon L. Crelinsten, M.D.; Cardiovascular Research Unit, Royal Victoria Hospital, 687 Pine Avenue West; Montreal, Quebec, Canada H3A 1A1.

Royal Victoria Hospital and Sir Mortimer B. Davis Jewish General Hospital, McGill University; Montreal, Quebec, Canada

©1985 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1985;103(6_Part_1):893-894. doi:10.7326/0003-4819-103-6-893
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This excerpt has been provided in the absence of an abstract.

Streptococcus agalactiae (Lancefield group B) is a recognized pathogen in the neonatal period and an important cause of puerperal sepsis. Only recently, however, has the importance of this organism as a cause of infections in adults been recognized (1). Although the means of entry has been disputed and predisposing conditions to infection have been inconsistent (1, 2), a major human reservoir for S. agalactiae is now known to be the gastrointestinal tract, and in particular, the rectum (3, 4). Studies by Klein and colleagues (5) have shown an association between S. bovis (Lancefield group D) endocarditis, and carcinoma of the


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