Open AccessConcurrent fusobacterial pyogenic liver abscess and empyema
Author(s) -
Ahmed Gohar,
Fady Jamous,
Mohamed Abdallah
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-231994
Subject(s) - medicine , fusobacterium nucleatum , liver abscess , empyema , pyogenic liver abscess , abscess , pleural effusion , fusobacterium , abdominal pain , chest pain , septic shock , surgery , radiology , sepsis , bacteroides , periodontitis , porphyromonas gingivalis , biology , bacteria , genetics
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 Fusobacterium varium , while drainage of the liver abscess yielded Fusobacterium nucleatum 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.