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Author Gill, Ryan M. ♦ Buelow, Ben D. ♦ Lambert, Joelle M.
Source Directory of Open Access Journals (DOAJ)
Content type Text
Publisher Karger Publishers
File Format HTM / HTML
Date Created 2016-08-17
Copyright Year ©2013
Language English
Subject Domain (in LCC) RC799-869
Subject Keyword Negative culture ♦ Fusobacterium necrophorum ♦ Internal medicine ♦ Diseases of the digestive system ♦ Medicine ♦ Gastroenterology ♦ Liver abscess ♦ Warthin-Starry stain ♦ Specialties of internal medicine
Abstract Fusobacterium is well characterized as an oropharyngeal pathogen that may induce a septic thrombophlebitis by direct extension of abscess into an adjacent neck vessel (Lemierre's syndrome); its potential for visceral abscess formation, however, remains under-recognized. A 65-year-old man with a recent history of multiple rim-enhancing liver lesions presented to the emergency room with fever and abdominal pain. Based on interval increase in the size of the lesions, abscess was suspected. A liver biopsy was performed, and although no organism could be identified on routine microscopy, Warthin-Starry stain revealed Gram-negative bacilli consistent with an anaerobic Fusobacterium species as the underlying etiology of liver abscess formation. Subsequent anaerobic culture results confirmed the diagnosis. This case highlights the importance of consideration for Fusobacterium infection in the setting of liver abscess if anaerobic organisms have not yet been excluded on initial culture evaluation.
ISSN 16620631
Age Range 18 to 22 years ♦ above 22 year
Educational Use Research
Education Level UG and PG ♦ Career/Technical Study
Learning Resource Type Article
Publisher Date 2013-11-01
e-ISSN 16620631
Journal Case Reports in Gastroenterology
Volume Number 7
Issue Number 3
Page Count 5
Starting Page 482
Ending Page 486


Source: Directory of Open Access Journals (DOAJ)