1887

Abstract

This report presents two cases of bacteraemia associated with portal vein thrombosis. A 63‐year‐old man with a history of hypercholesterolaemia and nephrolithiasis was admitted to the hospital with fever and abdominal pain. A computed tomography (CT) scan revealed thrombosis of the posterior right portal vein. Blood cultures were positive for . The second case was a 53‐year‐old man with alcoholic steatohepatitis admitted with fever, chills and abdominal pain. A CT scan revealed right portal vein thrombosis and was isolated from his blood cultures. Both patients were successfully treated with intravenous ertapenem 1 g day for 4 weeks with resolution of symptoms. These case reports underscore the importance of considering the diagnosis of portal vein thrombosis in patients with bacteraemia of unclear aetiology.

Loading

Article metrics loading...

/content/journal/jmmcr/10.1099/jmmcr.0.003699
2014-09-01
2020-04-10
Loading full text...

Full text loading...

/deliver/fulltext/jmmcr/1/3/jmmcr003699.html?itemId=/content/journal/jmmcr/10.1099/jmmcr.0.003699&mimeType=html&fmt=ahah

References

  1. Bultink I., Wendelien D., Koopman M., Kuijper E.. ( 1999;). Fusobacterium nucleatum septicemia and portal vein thrombosis. Clin Infect Dis28:1325–1326[CrossRef]
    [Google Scholar]
  2. Forrester L.J., Campbell B.J., Berg J.N., Barrett J.T.. ( 1985;). Aggregation of platelets by Fusobacterium necrophorum . J Clin Microbiol22:246–249
    [Google Scholar]
  3. Garrett W., Onderdonk A.. ( 2010;). Bacteroides, Prevotella, Porphyromonas, and Fusobacterium species (and other medically important anaerobic Gram‐negative bacilli). In Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases pp.3111–3119 Edited by Mandell G. L., Bennett J. E., Dolin R.. Philadelphia, PA: Elsevier;[CrossRef]
    [Google Scholar]
  4. Hagelskjaer K., Prag J.. ( 2000;). Human necrobacillosis, with emphasis on Lemierre’s syndrome. Clin Infect Dis31:524–532[CrossRef]
    [Google Scholar]
  5. Hagelskjaer L., Prag H., Malcynzski J., Kristensen J.. ( 1998;). Incidence and clinical epidemiology of necrobacillosis, including Lemierre’s syndrome, in Denmark 1990–1995. Eur J Clin Microbiol Infect Dis17:561–565[CrossRef]
    [Google Scholar]
  6. Hamidi K., Pauwels A., Bingen M., Simo A.C., Medini A., Jarjous N., Delafolie A., Barraud D.. ( 2008;). Recent portal and mesenteric venous thrombosis associated with Fusobacterium bacteremia. Gastroenterol Clin Biol32:734–739[CrossRef]
    [Google Scholar]
  7. Henry S., DeMaria A., McCabe W.R.. ( 1983;). Bacteremia due to Fusobacterium species. Am J Med75:225–231[CrossRef]
    [Google Scholar]
  8. Horose M., Kiyoyama H., Ogawa H., Shinjo T.. ( 1992;). Aggregation of bovine platelets by Fusobacterium necrophorum . Vet Microbiol32:343–350[CrossRef]
    [Google Scholar]
  9. Redford M., Ellis R., Rees C.. ( 2005;). Fusobacterium necrophorum infection associated with portal vein thrombosis. J Med Microbiol54:993–995[CrossRef]
    [Google Scholar]
  10. Sheen C.L., Lamparelli H., Milne A., Green I., Ramage J.K.. ( 2000;). Clinical features, diagnosis and outcome of acute portal vein thrombosis. QJM93:531–534[CrossRef]
    [Google Scholar]
  11. Williams M.D., Kerber C.A., Tergin H.F.. ( 2003;). Unusual presentation of Lemierre’s syndrome due to Fusobacterium nucleatum . J Clin Microbiol41:3445–3448[CrossRef]
    [Google Scholar]
http://instance.metastore.ingenta.com/content/journal/jmmcr/10.1099/jmmcr.0.003699
Loading
/content/journal/jmmcr/10.1099/jmmcr.0.003699
Loading

Data & Media loading...

Most cited this month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error