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Case Reports
. 2017 Jul 27:2017:bcr2017220654.
doi: 10.1136/bcr-2017-220654.

Bacteraemia and liver abscess due to Fusobacterium necrophorum

Rafael García Carretero  1 , Marta Lopez-Lomba  2 , Oscar Vazquez-Gomez  1 , Belen Rodriguez-Maya  1
Affiliations
Case Reports

Bacteraemia and liver abscess due to Fusobacterium necrophorum

Rafael García Carretero et al. BMJ Case Rep. .

Abstract

Fusobacterium necrophorum is the oropharyngeal pathogen usually associated with Lemierre's syndrome, a pharyngeal infection which evolves to sepsis, septic emboli and thrombophlebitis of the adjacent neck vessels. It is an uncommon causative bacteria of a liver abscess, and an extensive workup should, therefore, be performed in order to rule out potential sources of the infection. This case report describes the workup that led to the diagnosis of a colorectal carcinoma, which was deemed to be the source of the Fusobacterium bacteraemia.

Keywords: Hepatitis and other GI infections; Infection (gastroenterology); Liver disease.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
The CT slide shows the heterogeneous hepatic lesion (arrow), with poorly defined borders and small hypodense areas within, with mixed phlegmonous and small abscessation areas.
Figure 2
Figure 2
The lumen of the rectum was partially obstructed by an ulcerating rectal mass situated 12 cm above the dental line, and its surface was haemorrhagic and uneven.
See this image and copyright information in PMC

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