Prevalence of colorectal neoplasms among patients with Enterococcus faecalis endocarditis in the GAMES cohort (2008-2017).

J.M. Pericàs, J. Ambrosioni, P. Muñoz, A. de Alarcón, M. Kestler, A. Mari-Hualde, A. Moreno, M.Á. Goenaga, M.C. Fariñas, R. Rodríguez-Álvarez, G. Ojeda-Burgos, J. Gálvez-Acebal, C. Hidalgo-Tenorio, M. Noureddine, J.M. Miró, F.F. Sánchez, G. Rosas, J.D.L.T. Lima, R. Blanco, M.V. BoadoM.C. Lázaro, A. Crespo, J. Goikoetxea, J.R. Iruretagoyena, J.I. Zuazabal, L. López-Soria, M. Montejo, J. Nieto, D. Rodrigo, R. Rodríguez, Y. Vitoria, R. Voces, M.V.G. López, R.I. Georgieva, G. Ojeda, I.R. Bailón, J.R. Morales, A.M. Cuende, T. Echeverría, A. Fuerte, E. Gaminde, M.Á. Goenaga, P. Idígoras, J.A. Iribarren, A.I. Yarza, X.K. Urkola, C. Reviejo, R. Carrasco, V. Climent, P. Llamas, E. Merino, J. Plazas, S. Reus, N. Álvarez, J.M. Bravo-Ferrer, L. Castelo, J. Cuenca, P. Llinares, E.M. Rey, M.R. Mayo, E. Sánchez, D.S. Regueiro, F.J. Martínez, M. del Mar Alonso, B. Castro, D.G. Rosado, M. del Carmen Durán, M.A.M. Gómez, J. Lacalzada, I. Nassar, A.P. Ciezar, J.M.R. Iglesias, V.A. Álvarez, C. Costas, J.D.L. Hera, J.F. Suárez, L.I. Fraile, V.L. Arguero, J.L. Menéndez, P.M. Bajo, C. Morales, A.M. Torrico, C. Palomo, B.P. Martínez, Á.R. Esteban, R.R. García, M.T. Asensio, M. Almela, M. Azqueta, M. Brunet, M. Bodro, R. Cartañá, C. Falces, G. Fita, D. Fuster, C. García de la Mària, D. García-Pares, M. Hernández-Meneses, J.L. Pérez, F. Marco, D. Nicolás, S. Ninot, E. Quintana, C. Paré, D. Pereda, J.M. Pericás, J.L. Pomar, J. Ramírez, I. Rovira, E. Sandoval, M. Sitges, D. Soy, A. Téllez, J.M. Tolosana, B. Vidal, J. Vila, I. Adán, J. Bermejo, E. Bouza, D. Celemín, G.C. Caballero, A.D. Montero, A.G. Mansilla, M.E.G. Leoni, V.G. Ramallo, M.K. Hernández, A.M. Hualde, M. Marín, M. Martínez-Sellés, C. Rincón, H. Rodríguez-Abella, M. Rodríguez-Créixems, B. Pinilla, Á. Pinto, M. Valerio, P. Vázquez, E.V. Moreno, I. Antorrena, B. Loeches, A.M. Quirós, M. Moreno, U. Ramírez, V.R. Bastón, M. Romero, A. Saldaña, J.A. Balbín, C.A. Castillo, A. Arnaiz, F.A. de las Revillas, M.C. Belaustegui, M.C. Fariñas, C. Fariñas-Álvarez, R.G. Izquierdo, I. García, C.G. Rico, M. Gutiérrez-Cuadra, J.G. Díez, M. Pajarón, J.A. Parra, R. Teira, J. Zarauza, J. Calderón Parra, M. Cobo, F. Domínguez, A. Fortaleza, P.G. Pavía, J. González, A.F. Cruz, E. Múñez, A. Ramos, I.S. Romero, T. Centella, J.M. Hermida, J.L. Moya, P. Martín-Dávila, E. Navas, E. Oliva, A.D. Río, J. Rodríguez-Roda Stuart, S. Ruiz, C.H. Tenorio, M.A. Delia, O. Araji, J.M. Barquero, R.C. Jambrina, M. de Cueto, J.G. Acebal, I. Méndez, I. Morales, L.E. López-Cortés, E. García, J.L. Haro, J.A. Lepe, F. López, R. Luque, L.J. Alonso, P. Azcárate, J.M. Azcona Gutiérrez, J.R. Blanco, A.C. Villegas, L. García-Álvarez, J.A. Oteo, M. Sanz, N. de Benito, M. Gurguí, C. Pacho, R. Pericas, G. Pons, M. Álvarez, A.L. Fernández, A.T. Martínez, A. Prieto, B. Regueiro, E. Tijeira, M. Vega, A.C. Blasco, J.C. Mollar, J.C. Gainzarain Arana, O.G. Uriarte, A.M. López, Z. Ortiz de Zárate, J.A. Urturi Matos, G.-D. Gloria, S.-P. Antonio, J.M.A. Leal, E.G. Vázquez, A.H. Torres, A. Blázquez, G.D.L.M. Valenzuela, Á. Alonso, J. Aramburu, F.E. Calvo, A.M. Rodríguez, P. Tarabini-Castellani, E.H. Gálvez, C.M. Bellido, J.L. Pau, M.A. Sepúlveda, P.T. Sierra, S.Z. Iqbal-Mirza, E.C. Alcolea, I.K. Yañez, J.N. Martínez, A.P. Ballesta, E.M. Escobar, A.P. Monje, V.S. Cabrera, D.V. García, M.A. Asenjo, C.C. Luna, J.N. Morcillo, M.C.P. Seco, A.V. Gelabert, C.A. Guallar, N.F. Abad, P.G. Mangas, M.M. Adell, M.P.P. Ruiz, J.C. Porres, B.A. Vidal, N.C. Trigueros, M.J. Del Amor Espín, J.A. Giner Caro, R.J. Sánchez, A.J. Almazán, A.O. Freire, M.V. González, P.P. Ramis, M.Á.R. Blanco, E. Ruiz de Gopegui Bordes, L.V. Bonet, M.C.B. Munera, E.E. Garaizabal, A.T. Martínez, J.C. Segura Luque, C. Badía, L.B. Palop, M. Xercavins, S.I. Eloy Gómez Nebreda, I.H. Herrera, I.M. Gallego Héctor Marrero Santiago, I. de Miguel Martínez, E.P. Álamo

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Abstract

Objective: To investigate the rate of colorectal neoplasms (CRNs) in patients who have Enterococcus faecalis infective endocarditis (EFIE) with available colonoscopies and to assess whether this is associated with the identification of a focus the infection. Patients and Methods: Retrospective analysis of data from a prospective multicenter study involving 35 centers who are members of the Grupo de Apoyo para el Manejo de la Endocarditis en España [Support Group for the Management of Infective Endocarditis in Spain] cohort. A specific set of queries regarding information on colonoscopy and histopathology of colorectal diseases was sent to each participating center. Four-hundred sixty-seven patients with EFIE were included from January 1, 2008, to December 31, 2017, from whom data on colonoscopy performance and results were available in 411 patients. Results: One hundred forty-two (34.5%) patients had a colonoscopy close to the EFIE episode. The overall rate of colorectal diseases was 70.4% (100 of 142), whereas the prevalence of CRN (advanced adenomas and colorectal carcinoma) was 14.8% (21 of 142), with no significant differences between the group of EFIE of unknown focus and that with an identified focus. Conclusion: Our study adds to prior evidence suggesting a much higher rate of CRN among patients with EFIE than in the general population of the same age and sex. In addition, our findings suggest that this phenomenon might take place both in EFIE with an unknown and an identified source of infection.

Original languageEnglish
Pages (from-to)132-146
Number of pages15
JournalMayo Clinic Proceedings
Volume96
Issue number1
DOIs
Publication statusPublished - Jan 2021

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