Pylephlebitis Caused by<i> Bacillus subtilis</i> and<i> Fusobacterium nucleatum</i>

  • Ochi Tatsuya
    Department of General Internal Medicine, Kobe City Medical Center West Hospital, Japan Department of Emergency and Critical Care Medicine, Hyogo Emergency Medical Center, Japan
  • Oh Koji
    Department of General Internal Medicine, Kobe City Medical Center West Hospital, Japan
  • Konishi Hiroki
    Department of General Internal Medicine, Kobe City Medical Center West Hospital, Japan

抄録

<p>A 90-year-old man presented with a 3-day history of general malaise. He was febrile (39.3°C) but the initial evaluation did not reveal the cause of the fever. After admission, Bacillus subtilis and Fusobacterium nucleatum were grown from multiple sets of blood cultures. In addition, contrast-enhanced computed tomography revealed thrombi in the portal vein and superior mesenteric vein; he was diagnosed with pylephlebitis. After receiving antimicrobial treatment and anticoagulation, the patient was cured. Pylephlebitis is a rare condition and may be the cause of unknown fevers. This is the first reported case of pylephlebitis caused by Bacillus subtilis. </p>

収録刊行物

  • Internal Medicine

    Internal Medicine 63 (6), 799-802, 2024-03-15

    一般社団法人 日本内科学会

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