Pyogenic liver abscess related to dental disease in an immunocompetent host.
A 59-year-old man with poor oral hygiene presented to our hospital because of fever and chills. Abdominal ultrasonography and enhanced computed tomography (CT) revealed a liver abscess. The patient had no history of immunodeficiency and we confirmed the patient had no immunologic abnormalities. Blood culture revealed Fusobacterium nucleatum, a bacterium commonly found in the oral cavity. Even if a patient is immunocompetent, poor oral hygiene might be an independent risk factor for a pyogenic liver abscess. Professional mechanical tooth cleaning (PMTC) and appropriate self-care are recommended as a prophylaxis against not only dental, but also systemic diseases.
Kajiya
Takashi
T
Department of Internal Medicine, Kouseikai Uemura Hospital, Kagoshima, Japan. kajiya@fij.co.jp
Uemura
Takeshi
T
Kajiya
Mami
M
Kaname
Hikaru
H
Hirano
Ryuki
R
Uemura
Nobuhiro
N
Tei
Chuwa
C
D016967:Fusobacterium nucleatum / Q000302:isolation & purification; D006801:Humans; D007121:Immunocompetence; D046290:Liver Abscess, Pyogenic / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D009057:Stomatognathic Diseases / Q000150:complications / Q000175:diagnosis* / Q000382:microbiology*