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Liver abscess due to Fusobacterium species detected on ultrasonography: a case report

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Abstract

An oral infection harboring Fusobacterium species can gain entrance to the liver via hematogenous spread in the form of septic embolus, and can thereby cause abscesses. Such spread, described as Lemierre syndrome, is life threatening. We present such a case history of a man in his mid-40s, who presented with infection and Fusobacterium liver abscess with an acute fulminant disease course. The initial diagnosis was arrived at by ultrasound imaging and blood investigations. He was treated with antibiotics, ultrasound-guided liver abscess drainage, and extraction of the infected molar tooth. He was discharged 6 weeks after admission. To date, there have been no reports describing the ultrasound images of a Fusobacterium liver abscess in detail. Hence, we herein present the ultrasound images of a Fusobacterium liver abscess.

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References

  1. Athavale NV, Leitch DG, Cowling P. Liver abscesses due to Fusobacterium spp. that mimic malignant metastatic liver disease. Eur J Clin Microbiol Infect Dis. 2002;21:884–6.

    CAS  PubMed  Google Scholar 

  2. Riordan T. Human infection with Fusobacterium necrophorum (Necrobacillosis), with a focus on Lemierre’s syndrome. Clin Microbiol Rev. 2007;20:622–59.

    Article  CAS  Google Scholar 

  3. Malik AA, Bari SU, Rouf KA, et al. Pyogenic liver abscess: changing patterns in approach. World J Gastrointest Surg. 2010;2:395–401.

    Article  Google Scholar 

  4. Gendron R, Grenier D, Robert LFM. The oral cavity as a reservoir of bacterial pathogens for focal infections. Microbes Infect. 2000;2:897–906.

    Article  CAS  Google Scholar 

  5. Cheung WY, Bellas J. Fusobacterium—elusive cause of life threatening septic thromboembolism. Can Fam Physician. 2007;53:1451–3.

    PubMed  PubMed Central  Google Scholar 

  6. Lei WY, Chang WH, Shih SC, et al. Pyogenic liver abscess with Prevotella species and Fusobacterium necrophorum as causative pathogens in an immunocompetent patient. J Formos Med Assoc. 2009;108:253–7.

    Article  Google Scholar 

  7. Yoneda M, Kato S, Mawatari H, et al. Liver abscess caused by periodontal bacterial infection with Fusobacterium necrophorum. Hepatol Res. 2011;41:194–6.

    Article  Google Scholar 

  8. Nozawa Yuichi, Joshita Satoru, et al. A case of pyogenic liver abscess infected with Fusobacterium necrophorum depicted by microscopy and confirmed by tissue culture. Intern Med. 2011;50:1815–9.

    Article  Google Scholar 

  9. Narsinghani U, Schmidt MB, Jacobs RF, et al. Radiological case of the month—Lemierre’s syndrome. Arch Pediatr Adolesc Med. 2001;155:965–6.

    Article  CAS  Google Scholar 

  10. Jayasimhan D, Wu L, Huggan P. Fusobacterial liver abscess: a case report and review of the literature. BMC Infect Dis. 2017;17:440.

    Article  Google Scholar 

  11. Chen C-H, Wu S-S, Chang H-C, Chang Y-J. Initial presentations and final outcomes of primary pyogenic liver abscess: a cross-sectional study. BMC Gastroenterol. 2014;14:133.

    Article  Google Scholar 

  12. Wijarnpreecha K, Yuklyaeva N, Sornprom S, Hyman C. Fusobacterium nucleatum: atypical organism of pyogenic liver abscess might be related to sigmoid diverticulitis. N Am J Med Sci. 2016;8:197–9.

    Article  Google Scholar 

  13. Takano Y, Fukuda K, Takayasu H, Shinmura K, Koizumi G, Sasai M, et al. Liver abscessation and multiple septic pulmonary emboli associated with Lemierre’s syndrome: a case report. BMC Res Notes. 2015;8:65.

    Article  Google Scholar 

  14. Fatakhov E, Patel MK, Santha S, Koch CF. Fusobacterium necrophorum: a rare cause of hepatic abscess in an immunocompetent individual. BMJ Case Rep. 2013. https://doi.org/10.1136/bcr-2013-200748.

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Akiko Saito.

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Subramaniyam, V., Saito, A. & Tokushige, K. Liver abscess due to Fusobacterium species detected on ultrasonography: a case report. J Med Ultrasonics 45, 623–627 (2018). https://doi.org/10.1007/s10396-018-0875-0

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  • DOI: https://doi.org/10.1007/s10396-018-0875-0

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