Description

Fusobacterium bacteremia may be associated with thrombosis of the portal and/or hepatic veins. This may be somewhat analogous to Lemierre Syndrome of the oropharynx.


Organism: Fusobacterium nucleatum, possibly other species

 

Clinical features:

(1) positive blood culture for F. nucleatum

(2) thrombosis of the portal and/or hepatic veins

(3) variable thrombosis in other veins

(4) variable presence of hepatic abscesses

(5) variable presence of a portal in the gastrointestinal tract (ulcerating adenocarcinoma, inflammatory bowel disease, other)

(6) variable mesenteric adenitis


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