A rare case of Fusobacterium necrophorum liver abscesses

  • Faris Hannoodi | fh.saint@hotmail.com Department of Internal Medicine, Crittenton Hospital, Rochester, MI; Wayne State University, Detroit, MI, United States. http://orcid.org/0000-0003-1835-1899
  • Hussam Sabbagh Department of Internal Medicine, Crittenton Hospital, Rochester, MI; Wayne State University, Detroit, MI, United States.
  • Zain Kulairi Department of Internal Medicine, Crittenton Hospital, Rochester, MI; Wayne State University, Detroit, MI, United States.
  • Sarwan Kumar Department of Internal Medicine, Crittenton Hospital, Rochester, MI; Wayne State University, Detroit, MI, United States.

Abstract

Liver abscesses are an uncommon disease that can present with vague symptoms. Fusobacterium necrophorum causing liver abscesses is a rare condition and only a few cases have been reported. An 88-year-old female presented to her primary care physician with one week of fevers, night sweats, chills, fatigue and vague right upper quadrant abdominal pain. She denied nausea, vomiting, constipation, diarrhea and unintentional weight loss. A computed tomography scan of the abdomen showed two liver abscesses in the right lobe as well as extensive diverticulosis. Percutaneous drainage was performed and draining catheters were placed in the abscesses. Culture of the abscess fluid grew Fusobacterium necrophorum. She was treated with ceftriaxone and metronidazole as per sensitivities. Rare cases of F. necrophorum hepatic abscesses have been published. The source of infection described in reported cases included hematogenous spread from dental caries/peritonsillar abscess and those involving the gastrointestinal tract resulting from inflammation of the bowel wall or from inflamed diverticuli via the portal circulation. In one study, thirteen cases of liver abscess due to F. necrophorum were studied, and two of these cases had diverticular disease without inflammation.

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Published
2017-01-12
Section
Case Reports
Keywords:
Liver abscess, diverticulosis, Fusobacterium necrophorum.
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How to Cite
Hannoodi, F., Sabbagh, H., Kulairi, Z., & Kumar, S. (2017). A rare case of Fusobacterium necrophorum liver abscesses. Clinics and Practice, 7(1). https://doi.org/10.4081/cp.2017.928