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Pylephlebitis Caused by Actinomyces Bacteremia
Omar Abughanimeh1, Mohammad Tahboub2, Yousaf Zafar3
1Internal Medicine, Kansas City School of Medicine, Kansas City, USA.
Abstract:
Pylephlebitis is a thrombophlebitis of the portal vein or its branches, which usually occurs as a complication of intra-abdominal infections that are drained by the portal vein, most commonly as a result of diverticulitis or appendicitis. Diagnosis of pylephlebitis is achieved by visualizing a portal vein thrombosis in a patient with bacteremia or a recent intra-abdominal infection. Many microorganisms have been reported to cause this infection. However, Actinomyces has never been reported before as a cause of pylephlebitis. Here, we describe a case of a 56-year-old female who had pylephlebitis that was caused by Actinomyces bacteremia and was treated with intravenous antibiotics.
Insights
Pylephlebitis, a portal vein thrombosis, is typically caused by common infections. This case highlights Actinomyces as a rare bacterial cause, successfully treated with antibiotics.
Area of Science:
- Infectious Diseases
- Vascular Medicine
- Microbiology
Background:
- Pylephlebitis is a serious condition involving thrombosis in the portal vein system.
- It commonly arises as a complication of intra-abdominal infections like appendicitis or diverticulitis.
Observation:
- A 56-year-old female presented with pylephlebitis.
- Blood cultures revealed bacteremia caused by Actinomyces.
Findings:
- This is the first reported case of pylephlebitis caused by Actinomyces bacteremia.
- The patient received intravenous antibiotics for treatment.
Implications:
- This case expands the known spectrum of pathogens causing pylephlebitis.
- It underscores the importance of considering unusual microorganisms in intra-abdominal sepsis and portal vein thrombosis.
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