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Asymptomatic pyogenic liver abscesses secondary to Fusobacterium nucleatum and Streptococcus vestibularis in an immunocompetent patient

By:

Houston, H

Contributor(s):

Publication details: 2017Uniform titles:

BMJ Case Reports

Online resources:

Summary: 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.

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Item type	Home library	Collection	Class number	Status	Date due	Barcode
UNKNOWN	Ferriman Information and Library Service (North Middlesex) Online	Staff publications for NMDX		Available

NMUH Staff Publications

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&nbsp;Fusobacterium nucleatum&nbsp;and&nbsp;Streptococcus vestibularis&nbsp;were isolated. The hepatic abscesses were attributed to asymptomatic diverticular perforation. Multiple coexisting incidental infections were discovered, including oesophageal candidiasis,&nbsp;Helicobacter pylori, stool cultures positive for&nbsp;Strongyloides stercoralis,&nbsp;and sputum cultures positive for&nbsp;Enterobacter cloacae,&nbsp;Escherichia coli&nbsp;and&nbsp;Mycobacterium avium&nbsp;Extensive investigations for possible underlying immunosuppression were negative.&nbsp;

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