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A Rare Case of Fusobacterium Necrophorum Liver Abscesses

Liver abscesses are an uncommon disease that can present with vague symptoms. Fusobacterium necrophorum causing liver abscesses is a rare condition and only a few cases have been reported. An 88-year-old female presented to her primary care physician with one week of fevers, night sweats, chills, fa...

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Autores principales: Hannoodi, Faris, Sabbagh, Hussam, Kulairi, Zain, Kumar, Sarwan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: PAGEPress Publications, Pavia, Italy 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5264547/
https://www.ncbi.nlm.nih.gov/pubmed/28243433
http://dx.doi.org/10.4081/cp.2017.928
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author Hannoodi, Faris
Sabbagh, Hussam
Kulairi, Zain
Kumar, Sarwan
author_facet Hannoodi, Faris
Sabbagh, Hussam
Kulairi, Zain
Kumar, Sarwan
author_sort Hannoodi, Faris
collection PubMed
description Liver abscesses are an uncommon disease that can present with vague symptoms. Fusobacterium necrophorum causing liver abscesses is a rare condition and only a few cases have been reported. An 88-year-old female presented to her primary care physician with one week of fevers, night sweats, chills, fatigue and vague right upper quadrant abdominal pain. She denied nausea, vomiting, constipation, diarrhea and unintentional weight loss. A computed tomography scan of the abdomen showed two liver abscesses in the right lobe as well as extensive diverticulosis. Percutaneous drainage was performed and draining catheters were placed in the abscesses. Culture of the abscess fluid grew Fusobacterium necrophorum. She was treated with ceftriaxone and metronidazole as per sensitivities. Rare cases of F. necrophorum hepatic abscesses have been published. The source of infection described in reported cases included hematogenous spread from dental caries/peritonsillar abscess and those involving the gastrointestinal tract resulting from inflammation of the bowel wall or from inflamed diverticuli via the portal circulation. In one study, thirteen cases of liver abscess due to F. necrophorum were studied, and two of these cases had diverticular disease without inflammation.
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spelling pubmed-52645472017-02-27 A Rare Case of Fusobacterium Necrophorum Liver Abscesses Hannoodi, Faris Sabbagh, Hussam Kulairi, Zain Kumar, Sarwan Clin Pract Case Report Liver abscesses are an uncommon disease that can present with vague symptoms. Fusobacterium necrophorum causing liver abscesses is a rare condition and only a few cases have been reported. An 88-year-old female presented to her primary care physician with one week of fevers, night sweats, chills, fatigue and vague right upper quadrant abdominal pain. She denied nausea, vomiting, constipation, diarrhea and unintentional weight loss. A computed tomography scan of the abdomen showed two liver abscesses in the right lobe as well as extensive diverticulosis. Percutaneous drainage was performed and draining catheters were placed in the abscesses. Culture of the abscess fluid grew Fusobacterium necrophorum. She was treated with ceftriaxone and metronidazole as per sensitivities. Rare cases of F. necrophorum hepatic abscesses have been published. The source of infection described in reported cases included hematogenous spread from dental caries/peritonsillar abscess and those involving the gastrointestinal tract resulting from inflammation of the bowel wall or from inflamed diverticuli via the portal circulation. In one study, thirteen cases of liver abscess due to F. necrophorum were studied, and two of these cases had diverticular disease without inflammation. PAGEPress Publications, Pavia, Italy 2017-01-12 /pmc/articles/PMC5264547/ /pubmed/28243433 http://dx.doi.org/10.4081/cp.2017.928 Text en ©Copyright F. Hannoodi et al. http://creativecommons.org/licenses/by-nc/4.0/ This work is licensed under a Creative Commons Attribution NonCommercial 4.0 License (CC BY-NC 4.0).
spellingShingle Case Report
Hannoodi, Faris
Sabbagh, Hussam
Kulairi, Zain
Kumar, Sarwan
A Rare Case of Fusobacterium Necrophorum Liver Abscesses
title A Rare Case of Fusobacterium Necrophorum Liver Abscesses
title_full A Rare Case of Fusobacterium Necrophorum Liver Abscesses
title_fullStr A Rare Case of Fusobacterium Necrophorum Liver Abscesses
title_full_unstemmed A Rare Case of Fusobacterium Necrophorum Liver Abscesses
title_short A Rare Case of Fusobacterium Necrophorum Liver Abscesses
title_sort rare case of fusobacterium necrophorum liver abscesses
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5264547/
https://www.ncbi.nlm.nih.gov/pubmed/28243433
http://dx.doi.org/10.4081/cp.2017.928
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