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CASE REPORT
Bacteraemia and liver abscess due to Fusobacterium necrophorum
  1. Rafael García Carretero1,
  2. Marta Lopez-Lomba2,
  3. Oscar Vazquez-Gomez3,
  4. Belen Rodriguez-Maya3
  1. 1Internal Medicine, Hospital Universitario de Mostoles, Mostoles, Madrid, Spain
  2. 2Microbiología, Hospital Universitario de Mostoles, Mostoles, Madrid, Spain
  3. 3Internal Medicine, Hospital Universitario de Mostoles, Mostoles, Madrid, Spain
  1. Correspondence to Dr Rafael García Carretero, rgcarretero{at}salud.madrid.org

Summary

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.

  • Infection (gastroenterology)
  • Liver disease
  • Hepatitis and other GI infections
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Footnotes

  • Contributors RGC wrote the first draft; ML-L and OV-G made interesting suggestions and BR-M helped in translating the draft into English.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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