title: A case of liver abscess with systemic infection caused by Fusobacterium.
abstract: A 43-year-old man was admitted to our hospital because of an abnormal shadow on chest X-ray. Blood testing showed elevated levels of C-reactive protein and white blood cells. Computed tomography revealed multilocular masses of the right hepatic lobe, reticulonodular shadowing on both lungs, left kidney masses, and aortic arch aneurysm. Fusobacterium nucleatum was isolated from the hepatic abscess after percutaneous transhepatic drainage. Because of severe dental caries, he was diagnosed with liver abscess caused by dental infection with F. nucleatum. Administration of cefmetazole and meropenem was not effective; however, he showed remarkable improvement after treatment with metronidazole and continuous drainage.
authors.affiliation: Department of Gastroenterology and Rheumatology, Fukushima Medical University School of Medicine.
authors.forename: Naoki
authors.initials: N
authors.lastname: Matsuoka
authors.forename: Ken
authors.initials: K
authors.lastname: Okai
authors.forename: Atsushi
authors.initials: A
authors.lastname: Takahashi
authors.forename: Kazumichi
authors.initials: K
authors.lastname: Abe
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Kanno
authors.forename: Manabu
authors.initials: M
authors.lastname: Hayashi
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Imaizumi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Watanabe
authors.forename: Hiromasa
authors.initials: H
authors.lastname: Ohira
mesh_terms: D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D004322:Drainage; D005674:Fusobacterium Infections / Q000150:complications* / Q000628:therapy; D006801:Humans; D008100:Liver Abscess / Q000209:etiology* / Q000628:therapy; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use
chemical_list: D000890:Anti-Infective Agents; D008795:Metronidazole