TY  - BOOK
AU  - Houston, H.
AU  - Kumar, K.
AU  - Sajid, S.
TI  - Asymptomatic pyogenic liver abscesses secondary to Fusobacterium nucleatum and Streptococcus vestibularis in an immunocompetent patient
PY  - 2017///
N1  - NMUH Staff Publications
N2  - <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&gt
UR  - https://www.ncbi.nlm.nih.gov/pubmed/28942408
UR  - http://casereports.bmj.com/content/2017/bcr-2017-221476.long
ER  -