Fusobacterium nucleatum Bacteremia Presenting with Portal Vein Thrombosis: An Abdominal Lemierre Syndrome?

Moore, Joseph A.; Rambally, Siayareh

doi:10.1016/j.amjmed.2016.12.042

Cited by 19 publications

(18 citation statements)

References 6 publications

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“…In this case, beta lactam/beta-lactamase inhibitors treated the patient successfully. Anticoagulant therapy in these patients is still under investigation [2][3][4] .…”

Section: Discussionmentioning

confidence: 99%

“…Lemierre's syndrome is an oropharyngeal infection that secondarily causes internal jugular vein thrombophlebitis from which an infected thrombus can travel to infected distant areas, most commonly to the lungs 1,2 . This infection is caused by obligate anaerobe, Gram-negative, filamentous, and non-spore-forming bacteria, Fusobacterium necrophorum which usually belongs to the flora of oropharynx 2 . Rarely, these bacterial species can be the causative agent for pylephlebitis, which is defined as the development of thrombosis and inflammation of the portal vein that can lead to hepatic abscesses.…”

Section: Introductionmentioning

confidence: 99%

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Abdominal variant of Lemierre’s Syndrome in a Patient with Pancreatic Adenocarcinoma

Furuncuoglu

Öven

Mert

et al. 2021

MMJ

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Lemierre’s syndrome is an illness characterized by internal jugular vein thrombophlebitis related to infectious agents, primarily Fusobacterium necrophorum. These bacteria, residing in both the oropharynx and the gastrointestinal tract, may lead to pylephlebitis, a serious condition that could result in the development of hepatic abscesses. This manifestation of the disease is regarded as the abdominal variant of Lemierre’s syndrome. Patients with gastrointestinal malignancies, especially those who undergo surgeries, are susceptible to the abdominal variant of Lemierre’s syndrome. Timely diagnosis is required to avoid the life-threatening complications of the abdominal variant of Lemierre’s syndrome. Diffusion-weighted magnetic resonance imaging (MRI) might be very useful in differentiating this disease from liver metastasis in patients with malignancies. Radiologists and clinicians need to be aware of this challenging condition to prevent misdiagnosis, since prompt treatment is often lifesaving.

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“…In this case, beta lactam/beta-lactamase inhibitors treated the patient successfully. Anticoagulant therapy in these patients is still under investigation [2][3][4] .…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Abdominal variant of Lemierre’s Syndrome in a Patient with Pancreatic Adenocarcinoma

Furuncuoglu

Öven

Mert

et al. 2021

MMJ

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“…There are limited recorded cases as the one presented in this case report. Typically, it is a complication of intra-abdominal or pelvic infections located in the drainage pathway of the portal circulation [2]. Pylephlebitis is a rare but fatal complication that needs immediate attention and rapid initiation of treatment when identified.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Lemierre Syndrome – An Odd Presentation of a Rare Entity

Handa

Panthagani

Buddhdev

2020

Journal of Scientific Innovation in Medicine

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“…Metastasis to distant organs causing multi-organ failures may occur. Gastrointestinal involvement of Fusobacterium is often manifested as abscess collection or portal vein thrombosis [ 7 ]. In some other cases, there has been an interest in the association of this bacterium with the development of colon cancer [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Sporadic Fusobacterium Bacteremia as an Atypical Cause of Acute Hepatitis in a Young Caucasian Woman

Ahmed

Bahrin

Agha

et al. 2020

Cureus

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Fusobacterium species are gram-negative anaerobic non-spore-forming bacteria, which colonize mucous membranes in humans. Over the recent decade, the significance of these organisms has been increasingly recognized. We describe a rare case of acute hepatitis, which was found to be likely due to Fusobacterium nucleatum, grown on blood culture. In our case, the hepatitis caused by this microorganism resolved completely without any long-term sequelae to the liver, through conservative management namely intravenous antibiotics and supportive therapy only. This case highlights that early detection and prompt treatment in a case of acute hepatitis resulted in a good outcome. In addition, this case also illustrates that the differential diagnosis can be varied in cases of acute hepatitis.

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Fusobacterium nucleatum Bacteremia Presenting with Portal Vein Thrombosis: An Abdominal Lemierre Syndrome?

Cited by 19 publications

References 6 publications

Abdominal variant of Lemierre’s Syndrome in a Patient with Pancreatic Adenocarcinoma

Abdominal variant of Lemierre’s Syndrome in a Patient with Pancreatic Adenocarcinoma

Abdominal Lemierre Syndrome – An Odd Presentation of a Rare Entity

Sporadic Fusobacterium Bacteremia as an Atypical Cause of Acute Hepatitis in a Young Caucasian Woman

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