A case of liver abscess and fusobacterium septicemia

Rahmati, Elham; She, Rosemary C.; Kazmierski, Brittany; Geiseler, P. Jan; Wong, Darren

doi:10.1016/j.idcr.2017.06.013

Cited by 19 publications

(19 citation statements)

References 12 publications

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“…[13] Rahmati et al reported a case of an hepatic abscess secondary to Fusobacterium infection, causing pylephlebitis. [14] In our case, we believe the liver abscesses preceded the development of the pylephlebitis of the left portal vein due to negative blood cultures. Previous cases have been reported on potential local seeding of infection such as in a case presented by Tandon et al identified pylephlebitis complicating a liver biopsy.…”

Section: Discussionmentioning

confidence: 58%

Pylephlebitis caused by a liver abscess

Alcantar

Galeano

Junia

2019

CRIM

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Pylephlebitis is a rare complication associated with an intra-abdominal septic process in the portal venous system. It is defined as thrombophlebitis of the portal vein and is often reported in association with appendicitis and diverticulitis. We present a 64-yearold female who presented with fever, chills, myalgia, and loss of appetite. A computerized tomography (CT) chest/abdomen/pelvis was performed and the patient was found to have a low-density lesion within the left lobe of the liver suspicious for a hepatic abscess and a suspected left segmental plyephlebitis. The diagnosis of pylephlebitis can be challenging as there is a broad differential diagnosis to consider. When considering pylephlebitis, empiric antibiotic coverage for poly-microbial infection targeting both gram-negative aerobes and anaerobes should be initiated. Antimicrobial therapy is modified according to blood culture results and treatment can be extended for 4 to 6 weeks. To our knowledge, there are only a few cases identifying liver abscesses as an etiology for pylephlebitis. This case was atypical compared to other cases in that the diagnosis of pylephlebitiswas incidental.

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Section: Discussionmentioning

confidence: 58%

Pylephlebitis caused by a liver abscess

Alcantar

Galeano

Junia

2019

CRIM

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“…We hereby report a case of septic portomesenteric thrombosis secondary to Fusobacterium necrophorum bacteremia in the setting of sigmoid colitis to add to a total of 21 cases of Fusobacterium - spp. -infection-related pylephlebitis reported in the literature [ 8 – 27 ].…”

Section: Discussionmentioning

confidence: 99%

A Rare Twist of the Forgotten Disease: A Case of Fusobacterium necrophorum Sepsis with Portomesenteric Thrombosis and a Review of the Literature

Lazar

Sardarli

Imam

et al. 2021

Case Reports in Gastrointestinal Medicine

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Abdominal variants of Lemierre’s syndrome presenting with pylephlebitis are rare, and the role of anticoagulation in treatment is controversial. We hereby report a case of pylephlebitis secondary to F. necrophorum bacteremia in a 57-year-old female originating from bacterial translocation secondary to colitis, who developed a favorable outcome with prompt treatment with antibiotics and anticoagulation. We also perform a literature review on similar cases in the literature and discuss management options of this rare but potentially fatal complication.

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“…To the best of our knowledge, there have only been four other cases of Fusobacterium hepatic abscess associated with pylephlebitis in the international literature [4,5,7,8]. In some of the previous cases, the patients were treated with both anticoagulation and antibiotics.…”

Section: Discussionmentioning

confidence: 99%