Summary, etc. |
<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&nbsp;</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;">&nbsp;and&nbsp;</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;">&nbsp;were isolated. The hepatic abscesses were attributed to asymptomatic diverticular perforation. Multiple coexisting incidental infections were discovered, including oesophageal candidiasis,&nbsp;</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&nbsp;</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;">&nbsp;and sputum cultures positive for&nbsp;</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;">,&nbsp;</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;">&nbsp;and&nbsp;</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;">&nbsp;Extensive investigations for possible underlying immunosuppression were negative.</span>&nbsp;</span> |