Asymptomatic pyogenic liver abscesses secondary to Fusobacterium nucleatum and Streptococcus vestibularis in an immunocompetent patient
Houston, H.
Asymptomatic pyogenic liver abscesses secondary to Fusobacterium nucleatum and Streptococcus vestibularis in an immunocompetent patient - 2017
NMUH Staff Publications
<span style="font-size: 10pt;"><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">A 66-year-old male patient presented with symptoms and signs of L4/5 radiculopathy. He was found to be anaemic with elevated inflammatory markers and deranged hepatic enzymes. Imaging revealed lumbar canal stenosis and the presence of pyogenic liver abscesses from which </span><em style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">Fusobacterium nucleatum</em><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;"> and </span><em style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">Streptococcus vestibularis</em><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;"> were isolated. The hepatic abscesses were attributed to asymptomatic diverticular perforation. Multiple coexisting incidental infections were discovered, including oesophageal candidiasis, </span><em style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">Helicobacter pylori</em><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">, stool cultures positive for </span><em style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">Strongyloides stercoralis,</em><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;"> and sputum cultures positive for </span><em style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">Enterobacter cloacae</em><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">, </span><em style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">Escherichia coli</em><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;"> and </span><em style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">Mycobacterium avium</em><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;"> Extensive investigations for possible underlying immunosuppression were negative.</span> </span>
Asymptomatic pyogenic liver abscesses secondary to Fusobacterium nucleatum and Streptococcus vestibularis in an immunocompetent patient - 2017
NMUH Staff Publications
<span style="font-size: 10pt;"><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">A 66-year-old male patient presented with symptoms and signs of L4/5 radiculopathy. He was found to be anaemic with elevated inflammatory markers and deranged hepatic enzymes. Imaging revealed lumbar canal stenosis and the presence of pyogenic liver abscesses from which </span><em style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">Fusobacterium nucleatum</em><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;"> and </span><em style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">Streptococcus vestibularis</em><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;"> were isolated. The hepatic abscesses were attributed to asymptomatic diverticular perforation. Multiple coexisting incidental infections were discovered, including oesophageal candidiasis, </span><em style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">Helicobacter pylori</em><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">, stool cultures positive for </span><em style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">Strongyloides stercoralis,</em><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;"> and sputum cultures positive for </span><em style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">Enterobacter cloacae</em><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">, </span><em style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">Escherichia coli</em><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;"> and </span><em style="font-family: arial, helvetica, clean, sans-serif; text-align: left;">Mycobacterium avium</em><span style="font-family: arial, helvetica, clean, sans-serif; text-align: left;"> Extensive investigations for possible underlying immunosuppression were negative.</span> </span>