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Streptococcus bovis bacteraemia: its significance for the colorectal surgeon.

Patients with Streptococcus bovis bacteraemia are at high risk of harbouring an asymptomatic colorectal cancer or adenomatous polyps. It is therefore important to differentiate to a species level any Group D streptococci grown in blood cultures. Colonoscopy is the preferred method of screening these patients and high dose penicillin is the antibiotic of choice.