[A case of liver abscess caused by Fusobacterium nucleatum in a patient with recurrent periodontal diseases].
Fusobacteria are anaerobic gram-negative, non-spore forming bacilli found in normal flora of the oral cavity, urogenital tract, and gastrointestinal tract. Fusobacterium nucleatum has been seldom reported as a cause of liver abscess, particularly in immunocompetent hosts. A 55-year-old man with frequent periodontal disease visited our hospital with intermittent fever and headache for 2 months. Abdominal CT scan revealed an 8.2 × 6 cm mass in the right hepatic lobe with central low density. Abscess culture revealed F. nucleatum as the causative organism. Percutaneous abscess drainage and intravenous administration of antibiotics for 4 weeks improved symptoms and decreased the abscess size. We report a rare case of liver abscess due to F. nucleatum in an immunocompetent man with periodontal disease.
Department of Internal Medicine, Eulji University College of Medicine, Eulji University Hospital, Daejeon, Korea.
Yong Hwan
YH
Kim
Hee Jung
HJ
Yoon
Chan Woong
CW
Park
Jung Ho
JH
Kim
Min Kyung
MK
Lee
Ki Bang
KB
Kim
Dong Jib
DJ
Na
Ji Myung
JM
Kim
D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005674:Fusobacterium Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016967:Fusobacterium nucleatum / Q000302:isolation & purification*; D006801:Humans; D007275:Injections, Intravenous; D008100:Liver Abscess / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D010510:Periodontal Diseases / Q000175:diagnosis*; D013407:Sulbactam / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D000667:Ampicillin; D013407:Sulbactam