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A 40-year-old man was admitted with a continuous high grade fever accompanying a relatively large solitary liver abscess with septations. A puncture of the abscess revealed gram-negative rods that could be identified histologically as Fusobacterium necrophorum, which was later confirmed by tissue culture. The patient was switched to meropenem and penicillin, and cured of the infection. Fusobacterium necrophorum is a rare bacterium causing potentially fatal liver abscesses in humans. Clinicians should bear Fusobacterium necrophorum in mind when treating patients with an enlarged solitary liver abscess.
Department of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, Japan.
This article was published in the following journal.
Name: Internal medicine (Tokyo, Japan)
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A species of gram-negative, non-spore-forming bacteria isolated from the natural cavities of man and other animals and from necrotic lesions, abscesses, and blood.
Solitary or multiple collections of PUS within the liver as a result of infection by bacteria, protozoa, or other agents.
Infections with bacteria of the genus FUSOBACTERIUM.
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