Concurrent fusobacterial pyogenic liver abscess and empyema.

BMJ Case Rep 2019 Oct 14;12(10). Epub 2019 Oct 14.

Department of Internal Medicine, Univesity of South Dakota Sanford School of Medicine, Sioux Falls, SD, USA.

We present a very rare case of concurrent empyema and liver abscess caused by Fusobacterium. Our patient presented with 3-month history of subtle abdominal discomfort and cough leading to eventually presenting with marked chest pain, dyspnoea and septic shock. CT revealed a liver abscess and large right-sided pleural effusion. Drainage of the pleural effusion yielded gross pus with the growth of , while drainage of the liver abscess yielded The patient responded to drainage and antibiotic therapy with resolution of symptoms and decrease in the size of empyema and abscess on follow-up imaging. We also include a review if literature of related fusobacterial infections.

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http://dx.doi.org/10.1136/bcr-2019-231994DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6803142PMC
October 2019
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