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Case Reports
. 2020 Jan 13:2020:9237267.
doi: 10.1155/2020/9237267. eCollection 2020.

Fusobacterium necrophorum subsp. necrophorum Liver Abscess with Pylephlebitis: An Abdominal Variant of Lemierre's Syndrome

Natasa Radovanovic  1 , Igor Dumic  2   3 , Mladjen Veselinovic  4 , Susanne Burger  5 , Tamara Milovanovic  6 , Charles W Nordstrom  2   3 , Eric Niendorf  2   7 , Poornima Ramanan  8
Affiliations
Case Reports

Fusobacterium necrophorum subsp. necrophorum Liver Abscess with Pylephlebitis: An Abdominal Variant of Lemierre's Syndrome

Natasa Radovanovic et al. Case Rep Infect Dis. .

Abstract

Liver abscess associated with suppurative portal vein thrombosis (pylephlebitis) secondary to Fusobacterium necrophorum has been rarely reported. It is considered to be an abdominal variant of Lemierre's syndrome associated with significant morbidity and mortality. We report a case of 69-year-old man who developed liver abscess and pylephlebitis due to F. necrophorum with an unclear source of infection. We discuss the pathogenesis, diagnosis, and treatment strategy for this entity, with a review of previously published cases of pyelephlebitis due to F. necrophorum in regard to their clinical presentation and outcome.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Contrast-enhanced axial CT image of the upper abdomen demonstrating the liver abscess (black arrow) and thrombus in the portal vein (white arrow).
See this image and copyright information in PMC

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