| 000 | 03033cam a2200181 4500 | ||
|---|---|---|---|
| 001 | NMDX7466 | ||
| 008 | 120401t2017 xxu||||| |||| 00| 0 eng d | ||
| 100 | _aHouston, H. | ||
| 240 | _aBMJ Case Reports | ||
| 245 | _aAsymptomatic pyogenic liver abscesses secondary to Fusobacterium nucleatum and Streptococcus vestibularis in an immunocompetent patient | ||
| 260 | _c2017 | ||
| 500 | _aNMUH Staff Publications | ||
| 520 | _a<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> | ||
| 700 | _aKumar, K. | ||
| 700 | _aSajid, S. | ||
| 856 | _uhttps://www.ncbi.nlm.nih.gov/pubmed/28942408 | ||
| 856 | _uhttp://casereports.bmj.com/content/2017/bcr-2017-221476.long | ||
| 999 |
_c76353 _d76353 |
||