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Pyogenic Hepatic Abscess in an Immunocompetent Patient With Poor Oral Health and COVID-19 Infection
Manuel Vazquez1, Alana Vassil2, Igor Sirotkin2,3
1University of Central Florida College of Medicine, Orlando.
Summary
This study details a rare case of pyogenic hepatic abscess (PHA) caused by Fusobacterium nucleatum in an immunocompetent patient. Prompt diagnosis and treatment involving drainage and targeted antibiotics are crucial for managing this liver infection.
Area of Science:
- Hepatology
- Infectious Diseases
- Microbiology
Background:
- Pyogenic hepatic abscess (PHA) involves pus accumulation in the liver due to bacterial infection.
- PHA is more prevalent in immunocompromised individuals, including those with diabetes, cancer, or liver transplants.
Purpose of the Study:
- To report a rare instance of PHA caused by Fusobacterium nucleatum.
- To highlight the diagnostic challenges and potential sources of infection in immunocompetent patients.
Main Methods:
- Case report analysis.
- Review of patient's medical history, symptoms, and diagnostic findings.
- Microbiological analysis for pathogen identification.
Main Results:
- A rare case of PHA caused by Fusobacterium nucleatum was identified in an immunocompetent patient.
- The patient presented with atypical symptoms including chest pain, fever, and malaise.
- Poor oral health and recent COVID-19 infection were noted, with dental issues suspected as the primary source.
Conclusions:
- Prompt diagnosis and management of PHA are essential.
- Treatment involves drainage and appropriate antibiotic therapy, including empiric anaerobic coverage.
- Computed tomography can guide further drainage if necessary.
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