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

Nicholas Lazar; Kamil Sardarli; Zaid Imam; Majd Khasawneh; Ismail Hader

doi:10.1155/2021/6699867

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

Case Rep Gastrointest Med. 2021 May 27:2021:6699867. doi: 10.1155/2021/6699867. eCollection 2021.

Authors

Nicholas Lazar¹, Kamil Sardarli¹, Zaid Imam², Majd Khasawneh³, Ismail Hader⁴

Affiliations

¹ Department of Internal Medicine, Beaumont Health, Royal Oak, MI, USA.
² Division of Gastroenterology and Hepatology, Department of Internal Medicine, Beaumont Health, Royal Oak, MI, USA.
³ Division of Pulmonary Medicine and Critical Care, Department of Internal Medicine, University of Florida, Gainesville, FL, USA.
⁴ Division of Gastroenterology and Hepatology, Sunrise Health Graduate Medical Education (GME), Las Vegas, NV, USA.

Abstract

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.

Publication types

Case Reports