title: Mesenteric adenitis and portal vein thrombosis due to Fusobacterium nucleatum.
abstract: We report the first description of portal and mesenteric vein thrombosis associated with suppurative mesenteric adenitis in a 71-year-old woman. The bacterium detected in mesenteric lymph nodes was Fusobacterium nucleatum, an anaerobic Gram-negative bacillus. Our patient had a clinical syndrome of pharyngitis and fever preceding portal vein thrombosis. Abdominal symptoms improved with antibiotics and anticoagulant therapy. This location of F. nucleatum in mesenteric lymph nodes provides an interesting insight into the occurrence of septic thrombosis in the portal vein following pharyngo-tonsillar infection.
authors.affiliation: Service of Hepatogastroenterology, Hospital Antoine Béclère, Clamart, France.
authors.forename: Roland
authors.initials: R
authors.lastname: El Braks
authors.forename: Florence
authors.initials: F
authors.lastname: Harnois
authors.forename: Nevine
authors.initials: N
authors.lastname: Boutros
authors.forename: David
authors.initials: D
authors.lastname: Fallik
authors.forename: Jean
authors.initials: J
authors.lastname: Roudie
authors.forename: Claude
authors.initials: C
authors.lastname: Smadja
authors.forename: Jocelyne
authors.initials: J
authors.lastname: De Laveaucoupet
authors.forename: Jean-Claude
authors.initials: JC
authors.lastname: Chaput
authors.forename: Sylvie
authors.initials: S
authors.lastname: Naveau
authors.forename: Philippe
authors.initials: P
authors.lastname: Mathurin
mesh_terms: D000368:Aged; D005260:Female; D005674:Fusobacterium Infections / Q000150:complications* / Q000000981:diagnostic imaging; D016967:Fusobacterium nucleatum / Q000302:isolation & purification; D006801:Humans; D008198:Lymph Nodes / Q000382:microbiology; D008640:Mesenteric Lymphadenitis / Q000000981:diagnostic imaging / Q000382:microbiology*; D008641:Mesenteric Vascular Occlusion / Q000000981:diagnostic imaging / Q000382:microbiology*; D011169:Portal Vein; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000382:microbiology*; D014057:Tomography, X-Ray Computed