Pylephlebitis With Concomitant Fusobacterium Bacteremia: Lemierre's Syndrome Variant of the Gut
Pylephlebitis is a rare complication of intra-abdominal infections, and Fusobacterium, traditionally associated with thrombophlebitis of the internal jugular vein, is an extremely rare causative organism. This infection is associated with high morbidity and mortality, and there is still some controv...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2022-06-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0176 |
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| author | Mackenzie R. Barker Mahmoud Khreis |
| author_facet | Mackenzie R. Barker Mahmoud Khreis |
| author_sort | Mackenzie R. Barker |
| collection | DOAJ |
| description | Pylephlebitis is a rare complication of intra-abdominal infections, and Fusobacterium, traditionally associated with thrombophlebitis of the internal jugular vein, is an extremely rare causative organism. This infection is associated with high morbidity and mortality, and there is still some controversy about management. Here, we report a patient who presented with pylephlebitis and Fusobacterium bacteremia and responded well to a short course of intravenous antibiotics, finished therapy in the outpatient setting, and made a full recovery. We also review relevant literature on treatment strategies including antibiotics, anticoagulation, and screening endoscopy. |
| format | Article |
| id | doaj-art-e2ee97484574456fa473464e5ac3159f |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-e2ee97484574456fa473464e5ac3159f2025-08-20T02:11:47ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642022-06-011410.7326/aimcc.2022.0176Pylephlebitis With Concomitant Fusobacterium Bacteremia: Lemierre's Syndrome Variant of the GutMackenzie R. Barker0Mahmoud Khreis11Eastern Virginia Medical School, Norfolk, Virginia1Eastern Virginia Medical School, Norfolk, VirginiaPylephlebitis is a rare complication of intra-abdominal infections, and Fusobacterium, traditionally associated with thrombophlebitis of the internal jugular vein, is an extremely rare causative organism. This infection is associated with high morbidity and mortality, and there is still some controversy about management. Here, we report a patient who presented with pylephlebitis and Fusobacterium bacteremia and responded well to a short course of intravenous antibiotics, finished therapy in the outpatient setting, and made a full recovery. We also review relevant literature on treatment strategies including antibiotics, anticoagulation, and screening endoscopy.https://www.acpjournals.org/doi/10.7326/aimcc.2022.0176 |
| spellingShingle | Mackenzie R. Barker Mahmoud Khreis Pylephlebitis With Concomitant Fusobacterium Bacteremia: Lemierre's Syndrome Variant of the Gut Annals of Internal Medicine: Clinical Cases |
| title | Pylephlebitis With Concomitant Fusobacterium Bacteremia: Lemierre's Syndrome Variant of the Gut |
| title_full | Pylephlebitis With Concomitant Fusobacterium Bacteremia: Lemierre's Syndrome Variant of the Gut |
| title_fullStr | Pylephlebitis With Concomitant Fusobacterium Bacteremia: Lemierre's Syndrome Variant of the Gut |
| title_full_unstemmed | Pylephlebitis With Concomitant Fusobacterium Bacteremia: Lemierre's Syndrome Variant of the Gut |
| title_short | Pylephlebitis With Concomitant Fusobacterium Bacteremia: Lemierre's Syndrome Variant of the Gut |
| title_sort | pylephlebitis with concomitant fusobacterium bacteremia lemierre s syndrome variant of the gut |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2022.0176 |
| work_keys_str_mv | AT mackenzierbarker pylephlebitiswithconcomitantfusobacteriumbacteremialemierressyndromevariantofthegut AT mahmoudkhreis pylephlebitiswithconcomitantfusobacteriumbacteremialemierressyndromevariantofthegut |