Is anyone experienced in nature, pathogenity, etiology of Strept.-bovis?
Patient showed history of intestine infection with schistosoma mansoni
some years ago and complains about ongoing unspecific problems, that
could possibly be caused by cardiac affection in sense of mild and
chronic endocarditis as well as neck-spondilitis (???) . Ongoing
parasitic infection has been been excluded due to extensive serological
tests. But certain values let think about chronic infection: high
protein levels in serum and csf, high phagocytosis activity, high
relations of NK-lymphocites, high lymphocite relations etc.
Culture of wound swab from paining tonsil region now showes high
concentrations of streptococcus bovis (var)- (Group D, nonenterococci)
C; tonsil had been extirpeted as well as package of lymphnodes from same
Is finding of Strept.-b. as mentioned above sign of normal habitat or
is it more likely a sign of infection that could guide to cardiac or
Who can give additional advise?