PT  - JOURNAL ARTICLE
AU  - Ahmed Gohar
AU  - Fady Jamous
AU  - Mohamed Abdallah
TI  - Concurrent fusobacterial pyogenic liver abscess and empyema
AID  - 10.1136/bcr-2019-231994
DP  - 2019 Oct 01
TA  - BMJ Case Reports
PG  - e231994
VI  - 12
IP  - 10
4099  - http://casereports.bmj.com/content/12/10/e231994.short
4100  - http://casereports.bmj.com/content/12/10/e231994.full
SO  - BMJ Case Reports2019 Oct 01; 12
AB  - We present a very rare case of concurrent empyema and liver abscess caused by Fusobacterium. Our patient presented with 3-month history of subtle abdominal discomfort and cough leading to eventually presenting with marked chest pain, dyspnoea and septic shock. CT revealed a liver abscess and large right-sided pleural effusion. Drainage of the pleural effusion yielded gross pus with the growth of Fusobacterium varium, while drainage of the liver abscess yielded Fusobacterium nucleatum. The patient responded to drainage and antibiotic therapy with resolution of symptoms and decrease in the size of empyema and abscess on follow-up imaging. We also include a review if literature of related fusobacterial infections.