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KMID : 0614620110570010042
Korean Journal of Gastroenterology
2011 Volume.57 No. 1 p.42 ~ p.46
A Case of Liver Abscess Caused by Fusobacterium nucleatum in a Patient with Recurrent Periodontal Diseases
Kim Yong-Hwan

Yoon Hee-Jung
Park Chan-Woong
Kim Jung-Ho
Lee Min-Kyung
Kim Ki-Bang
Na Dong-Jib
Kim Ji-Myung
Abstract
Fusobacteria are anaerobic gram-negative, non-spore forming bacilli found in normal flora of the oral cavity, urogenital tract, and gastrointestinal tract. Fusobacterium nucleatum has been seldom reported as a cause of liver abscess, particularly in immunocompetent hosts. A 55-year-old man with frequent periodontal disease visited our hospital with intermittent fever and headache for 2 months. Abdominal CT scan revealed an 8.2¡¿6 cm mass in the right hepatic lobe with central low density. Abscess culture revealed F. nucleatum as the causative organism. Percutaneous abscess drainage and intravenous administration of antibiotics for 4 weeks improved symptoms and decreased the abscess size. We report a rare case of liver abscess due to F.nucleatum in an immunocompetent man with periodontal disease.
KEYWORD
Liver abscess, Fusobacterium nucleatum, Periodontal diseases
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