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CASE REPORT
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| Rectal cancer presenting as fusobacterium nucleatum pyogenic liver abscess: A case report |
| Tovey M1, Rizvi FA2, Raman S3, Wheatley KE4 |
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1Foundation Year 1 Doctor, Sandwell General Hospital, West Bromwich, UK.
2Core Training (Surgery), Birmingham, West Midlands Deanery, Birmingham, UK. 3Specialist Registrar (General Surgery), Birmingham, West Midlands Deanery, UK. 4Consultant Surgeon, Sandwell and West Bromwich Hospitals NHS Trust, Birmingham, UK. |
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doi:10.5348/ijcri-2011-06-39-CR-4
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Address correspondence to: Dr. Rizvi FA Core Training (Surgery) Birmingham UK Phone: +44-7950112889 Email: fahadrizvi@doctors.org.uk |
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| How to cite this article: |
| Tovey M, Rizvi FA, Raman S, Wheatley KE. Rectal cancer presenting as fusobacterium nucleatum pyogenic liver abscess: A case report. International Journal of Case Reports and Images 2011;2(6):16-19. |
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Abstract
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Introduction:
Fusobacterium nucleatum (F. nucleatum) is a non-spore forming, anaerobic, gram-negative bacteria usually associated with periodontal disease and rarely reported in association with pyogenic liver abscess. Although common symptoms of colonic cancer are well known, unusual infections may herald presence of such a cancer. Streptococcus bovis bacteraemia is an accepted diagnostic marker for occult colonic malignancy.
Case Report: We report a 72-year-old Caucasian male patient who presented to us as an emergency with F. nucleatum hepatic abscess and was found to have a rectal cancer on further gastrointestinal screening. Literature search suggests no previous direct association of F. nucleatum with colorectal cancer Conclusion: The hepatic abscess was successfully treated with percutaneous drainage and intravenous antibiotics followed by definitive surgery for his cancer at a later stage. A brief review of literature of association of pyogenic liver abscess and occult colonic cancer is presented. | |
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Key Words:
Fusobacterium nucleatum, Pyogenic liver abscess, Colon cancer, Sigmoid cancer
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Author Contributions:
M. Tovey M - Conception and design, Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published F. A. Rizvi - Conception and design, Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published S. Raman - Conception and design, Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published K. E. Wheatley - Conception and design, Acquisition of data, Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
The authors declare that they have no competing interests. |
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Copyright:
© M. Tovey et. al. 2010; This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see copyright policy for more information.) |
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