[Lemierre syndrome variant: Hepatic abscesses and hepatic venous thrombosis due to Fusobacterium nucleatum septicemia].
BACKGROUND
Like Fusobacterium necrophorum, Fusobacterium nucleatum is capable causing Lemierre's syndrome. Various locations of venous thrombosis have been described associated with Fusobacterium sp. septicemia.


METHODS
We describe a 43-year old alcoholic patient with F.nucleatum septicemia complicated with hepatic abscesses, middle hepatic venous thrombosis, osteomyelitis and infiltrative pneumonia. A pancreatic prosthesis was the only potentially identified infectious entrance.


CONCLUSIONS
Our patient showed an alternative presentation of Lemierre's syndrome, a "digestive variant". To the best of our knowledge, this is the first report of Fusobacterium septicemia associated with hepatic venous thrombosis. This report is close to the cases of portal thrombosis and opens the clinical sphere of the lemierre's syndrome, whose incidence is increasing.
Le Roux
K
K
Service de médecine interne, Hôtel-Dieu, 1, place de l'hôpital, 69288 Lyon cedex 02, France.
Sève
P
P
Gomard
E
E
Boibieux
A
A
Beziat
C
C
Stankovic
K
K
Broussolle
C
C
D000328:Adult; D000658:Amoxicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006502:Budd-Chiari Syndrome / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D005674:Fusobacterium Infections / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D016967:Fusobacterium nucleatum / Q000302:isolation & purification*; D006801:Humans; D008100:Liver Abscess / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D008297:Male; D010179:Pancreas / Q000601:surgery; D019736:Prostheses and Implants / Q000009:adverse effects; D018805:Sepsis / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D013577:Syndrome; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D000658:Amoxicillin