A Rare Twist of the Forgotten Disease: A Case of Fusobacterium necrophorum Sepsis with Portomesenteric Thrombosis and a Review of the Literature

Abdominal variants of Lemierre’s syndrome presenting with pylephlebitis are rare, and the role of anticoagulation in treatment is controversial. We hereby report a case of pylephlebitis secondary to F. necrophorum bacteremia in a 57-year-old female originating from bacterial translocation secondary...

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Main Authors: Nicholas Lazar, Kamil Sardarli, Zaid Imam, Majd Khasawneh, Ismail Hader
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2021/6699867
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author Nicholas Lazar
Kamil Sardarli
Zaid Imam
Majd Khasawneh
Ismail Hader
author_facet Nicholas Lazar
Kamil Sardarli
Zaid Imam
Majd Khasawneh
Ismail Hader
author_sort Nicholas Lazar
collection DOAJ
description Abdominal variants of Lemierre’s syndrome presenting with pylephlebitis are rare, and the role of anticoagulation in treatment is controversial. We hereby report a case of pylephlebitis secondary to F. necrophorum bacteremia in a 57-year-old female originating from bacterial translocation secondary to colitis, who developed a favorable outcome with prompt treatment with antibiotics and anticoagulation. We also perform a literature review on similar cases in the literature and discuss management options of this rare but potentially fatal complication.
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institution Kabale University
issn 2090-6528
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language English
publishDate 2021-01-01
publisher Wiley
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-206156cd88ef4919bebb2fbf2d1ba5112025-02-03T05:49:18ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362021-01-01202110.1155/2021/66998676699867A Rare Twist of the Forgotten Disease: A Case of Fusobacterium necrophorum Sepsis with Portomesenteric Thrombosis and a Review of the LiteratureNicholas Lazar0Kamil Sardarli1Zaid Imam2Majd Khasawneh3Ismail Hader4Department of Internal Medicine, Beaumont Health, Royal Oak, MI, USADepartment of Internal Medicine, Beaumont Health, Royal Oak, MI, USADivision of Gastroenterology and Hepatology, Department of Internal Medicine, Beaumont Health, Royal Oak, MI, USADivision of Pulmonary Medicine and Critical Care, Department of Internal Medicine, University of Florida, Gainesville, FL, USADivision of Gastroenterology and Hepatology, Sunrise Health Graduate Medical Education (GME), Las Vegas, NV, USAAbdominal variants of Lemierre’s syndrome presenting with pylephlebitis are rare, and the role of anticoagulation in treatment is controversial. We hereby report a case of pylephlebitis secondary to F. necrophorum bacteremia in a 57-year-old female originating from bacterial translocation secondary to colitis, who developed a favorable outcome with prompt treatment with antibiotics and anticoagulation. We also perform a literature review on similar cases in the literature and discuss management options of this rare but potentially fatal complication.http://dx.doi.org/10.1155/2021/6699867
spellingShingle Nicholas Lazar
Kamil Sardarli
Zaid Imam
Majd Khasawneh
Ismail Hader
A Rare Twist of the Forgotten Disease: A Case of Fusobacterium necrophorum Sepsis with Portomesenteric Thrombosis and a Review of the Literature
Case Reports in Gastrointestinal Medicine
title A Rare Twist of the Forgotten Disease: A Case of Fusobacterium necrophorum Sepsis with Portomesenteric Thrombosis and a Review of the Literature
title_full A Rare Twist of the Forgotten Disease: A Case of Fusobacterium necrophorum Sepsis with Portomesenteric Thrombosis and a Review of the Literature
title_fullStr A Rare Twist of the Forgotten Disease: A Case of Fusobacterium necrophorum Sepsis with Portomesenteric Thrombosis and a Review of the Literature
title_full_unstemmed A Rare Twist of the Forgotten Disease: A Case of Fusobacterium necrophorum Sepsis with Portomesenteric Thrombosis and a Review of the Literature
title_short A Rare Twist of the Forgotten Disease: A Case of Fusobacterium necrophorum Sepsis with Portomesenteric Thrombosis and a Review of the Literature
title_sort rare twist of the forgotten disease a case of fusobacterium necrophorum sepsis with portomesenteric thrombosis and a review of the literature
url http://dx.doi.org/10.1155/2021/6699867
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