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Asymptomatic pyogenic liver abscesses secondary to Fusobacterium nucleatum and Streptococcus vestibularis in an immunocompetent patient
  1. Hamish Houston,
  2. Kartik Kumar,
  3. Salman Sajid
  1. North Middlesex University Hospital NHS Trust, London, UK
  1. Correspondence to Dr Salman Sajid, salman.sajid{at}


A 66-year-old male patient presented with symptoms and signs of L4/5 radiculopathy. He was found to be anaemic with elevated inflammatory markers and deranged hepatic enzymes. Imaging revealed lumbar canal stenosis and the presence of pyogenic liver abscesses from which Fusobacterium nucleatum and Streptococcus vestibularis were isolated. The hepatic abscesses were attributed to asymptomatic diverticular perforation. Multiple coexisting incidental infections were discovered, including oesophageal candidiasis, Helicobacter pylori, stool cultures positive for Strongyloides stercoralis, and sputum cultures positive for Enterobacter cloacae, Escherichia coli and Mycobacterium avium. Extensive investigations for possible underlying immunosuppression were negative.

  • Liver Disease
  • Hepatitis And Other Gi Infections
  • Tropical Medicine (infectious Disease)
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  • Contributors HH and KK are joint first authors of this case report. SS is the corresponding author and guarantor. All authors were involved in managing the described case. All authors had the idea for the article, drafted the manuscript, revised the manuscript for content and approved the version of the manuscript that was submitted for publication.

  • Competing interests None declared.

  • Patient consent Obtained.

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

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