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. 2015:2015:354168.
doi: 10.1155/2015/354168. Epub 2015 Jan 8.

A Case of Liver Abscess with Desulfovibrio desulfuricans Bacteremia

Saho Koyano  1 , Keita Tatsuno  1 , Mitsuhiro Okazaki  1 , Kiyofumi Ohkusu  2 , Takashi Sasaki  3 , Ryoichi Saito  4 , Shu Okugawa  1 , Kyoji Moriya  1
Affiliations

A Case of Liver Abscess with Desulfovibrio desulfuricans Bacteremia

Saho Koyano et al. Case Rep Infect Dis. 2015.

Abstract

Desulfovibrio spp. are gram-negative, sulfate-reducing, and anaerobic bacteria found in the digestive tract of humans. Because Desulfovibrio spp. are infrequent causative agents of infectious diseases and are difficult to isolate and to identify from clinical specimens, the appropriate antibiotic therapy to infection with Desulfovibrio spp. has not been determined. We report the first case of liver abscess with bacteremia due to Desulfovibrio desulfuricans to show the clinical presentation and treatment. The patient was successfully treated with intravenous piperacillin-tazobactam and oral amoxicillin-clavulanic acid.

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Figures

Figure 1
Figure 1
CT scan showing contrast-enhanced lesion in liver (arrow).
Figure 2
Figure 2
(a) Spiral-shaped bacteria (arrows) in broth from the anaerobic blood culture bottle. Gram stain; ×1000. (b) D. desulfuricans (arrow) grown in HK semisolid medium. (c) Colonies of D. desulfuricans on Brucella HK agar.
See this image and copyright information in PMC

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