title: A Rare Case ofFusobacterium NecrophorumLiver Abscesses.
abstract: Liver abscesses are an uncommon disease that can present with vague symptoms.Fusobacterium necrophorumcausing liver abscesses is a rare condition and only a few cases have been reported. An 88-year-old female presented to her primary care physician with one week of fevers, night sweats, chills, fatigue and vague right upper quadrant abdominal pain. She denied nausea, vomiting, constipation, diarrhea and unintentional weight loss. A computed tomography scan of the abdomen showed two liver abscesses in the right lobe as well as extensive diverticulosis. Percutaneous drainage was performed and draining catheters were placed in the abscesses. Culture of the abscess fluid grewFusobacterium necrophorum. She was treated with ceftriaxone and metronidazole as per sensitivities. Rare cases ofF. necrophorumhepatic abscesses have been published. The source of infection described in reported cases included hematogenous spread from dental caries/peritonsillar abscess and those involving the gastrointestinal tract resulting from inflammation of the bowel wall or from inflamed diverticuliviathe portal circulation. In one study, thirteen cases of liver abscess due toF. necrophorumwere studied, and two of these cases had diverticular disease without inflammation.
authors.affiliation: Department of Internal Medicine, Crittenton Hospital, Rochester, MI; Wayne State University, Detroit, MI, USA.
authors.forename: Faris
authors.initials: F
authors.lastname: Hannoodi
authors.affiliation: Department of Internal Medicine, Crittenton Hospital, Rochester, MI; Wayne State University, Detroit, MI, USA.
authors.forename: Hussam
authors.initials: H
authors.lastname: Sabbagh
authors.affiliation: Department of Internal Medicine, Crittenton Hospital, Rochester, MI; Wayne State University, Detroit, MI, USA.
authors.forename: Zain
authors.initials: Z
authors.lastname: Kulairi
authors.affiliation: Department of Internal Medicine, Crittenton Hospital, Rochester, MI; Wayne State University, Detroit, MI, USA.
authors.forename: Sarwan
authors.initials: S
authors.lastname: Kumar
keywords: Fusobacterium necrophorum.; Liver abscess; diverticulosis