KMID : 0614620110570010042
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Korean Journal of Gastroenterology 2011 Volume.57 No. 1 p.42 ~ p.46
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A Case of Liver Abscess Caused by Fusobacterium nucleatum in a Patient with Recurrent Periodontal Diseases
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Kim Yong-Hwan
Yoon Hee-Jung Park Chan-Woong Kim Jung-Ho Lee Min-Kyung Kim Ki-Bang Na Dong-Jib Kim Ji-Myung
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Abstract
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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.
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KEYWORD
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Liver abscess, Fusobacterium nucleatum, Periodontal diseases
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