Pylephlebitis Caused by<i> Bacillus subtilis</i> and<i> Fusobacterium nucleatum</i>
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- 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
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- Oh Koji
- Department of General Internal Medicine, Kobe City Medical Center West Hospital, Japan
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- 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
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- Internal Medicine
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Internal Medicine 63 (6), 799-802, 2024-03-15
一般社団法人 日本内科学会