Lemierre syndrome variant: Hepatic abscesses and hepatic venous thrombosis due to Fusobacterium nucleatum septicemia

La Revue de médecine interne
K Le RouxC Broussolle

Abstract

Like Fusobacterium necrophorum, Fusobacterium nucleatum is capable causing Lemierre's syndrome. Various locations of venous thrombosis have been described associated with Fusobacterium sp. septicemia. We describe a 43-year old alcoholic patient with F.nucleatum septicemia complicated with hepatic abscesses, middle hepatic venous thrombosis, osteomyelitis and infiltrative pneumonia. A pancreatic prosthesis was the only potentially identified infectious entrance. Our patient showed an alternative presentation of Lemierre's syndrome, a "digestive variant". To the best of our knowledge, this is the first report of Fusobacterium septicemia associated with hepatic venous thrombosis. This report is close to the cases of portal thrombosis and opens the clinical sphere of the lemierre's syndrome, whose incidence is increasing.

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Citations

May 12, 2009·Journal of General Internal Medicine·Hai-Yan LiRoger Jones
May 24, 2011·La Revue de médecine interne·C StavrisB Graffin
Jul 14, 2009·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Kirsteen R BurtonSusan Huan
Mar 25, 2008·The American Journal of Emergency Medicine·Etienne PuymiratClaude Gabinski
Oct 2, 2012·Diagnostic and Interventional Imaging·J RoussetT le Bivic
Sep 9, 2008·Gastroentérologie Clinique Et Biologique·K HamidiD Barraud
Apr 2, 2008·Internal Medicine·Takashi KajiyaChuwa Tei
Aug 10, 2012·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Armin RashidiBenjamin M Goodman

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