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Pylephlebitis, a portal vein thrombosis, is typically caused by common infections. This case highlights Actinomyces as a rare bacterial cause, successfully treated with antibiotics.

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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.