A case of pylephlebitis with Streptococcus viridans and Bacteroides fragilis bacteremia secondary to diverticulitis.
- Author:
Bon Ho KU
1
;
Young Saeng KIM
;
Jong Hun KIM
;
Yu Kyong CHOI
;
Jae Woo YEON
;
Seong Gyu LEE
;
Sue Yun KIM
Author Information
1. Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea. kysun@dmc.or.kr
- Publication Type:Case Report
- Keywords:
Pylephlebitis;
Bacteremia;
Diverticulitis
- MeSH:
Appendicitis;
Bacteremia;
Bacteroides;
Bacteroides fragilis;
Cholecystitis, Acute;
Diverticulitis;
Early Diagnosis;
Humans;
Inflammatory Bowel Diseases;
Intraabdominal Infections;
Pancreatitis;
Portal Vein;
Prognosis;
Rare Diseases;
Streptococcus;
Stress, Psychological;
Thrombophlebitis;
Viridans Streptococci
- From:Korean Journal of Medicine
2009;76(5):622-626
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pylephlebitis, a septic thrombophlebitis of the portal vein or one of its tributaries, is a life-threatening complication of intra-abdominal infection. The causes of pylephlebitis include acute diverticulitis, appendicitis, acute cholecystitis, necrotizing pancreatitis, inflammatory bowel disease, and bowel perforation. Although pylephlebitis is an unusual complication of diverticulitis, its morbidity and mortality remain high. Therefore, early diagnosis and initiation of adequate antibiotic therapy is important for improving the long-term prognosis of patients suffering from this rare disease. We report a case of pylephlebitis with Streptococcus viridans and Bacteroides fragilis bacteremia secondary to diverticulitis with a review of the literature.
