Liver abscessation and multiple septic pulmonary emboli associated with XXXX : a case report.

@entity1 @entity5572 @entity295 @entity7551 @entity999 @entity281 @entity21204 @entity358 @entity158 @entity2259
BACKGROUND: In @entity21204 , @entity1 first exhibit @entity7551 and peritonsillar abscessation, followed by the development of anaerobic bacterial (usually Fusobacterium necrophorum) @entity295 and metastatic @entity281 throughout the body. However, these @entity281 rarely affect the liver. We describe a case of @entity21204 , in which the first disease manifestation was @entity5572 , for drawing attention of emergency physicians to this rare but fatal disease. CASE PRESENTATION: A 28-year-old Asian ethnicity Filipino male, who was previously healthy, entered the emergency department presenting with fever and @entity158 that had persisted for 5  days. Contrast-enhanced abdominal computed tomography revealed a 3-cm area of low density in segment 6 of the liver, consistent with an abscess. Chest computed tomography also revealed that multiple nodes in both lungs were enlarged, and @entity999 were suspected. The @entity1 was hospitalized and antibiotic treatment was initiated. On hospital day 6, blood culture results confirmed Fusobacterium necrophorum @entity295 . The @entity1 was diagnosed with @entity21204 , as @entity7551 developed into @entity2259 associated with @entity358 . The @entity1 's condition improved with antibiotics and he was discharged following three weeks of treatment in the hospital. CONCLUSION: With the widespread use of antibiotics, @entity21204 is rarely encountered anymore, but it can be fatal if not properly diagnosed. It is a crucial differential diagnosis in young @entity1 exhibiting @entity295 or multiple metastatic infection of unknown origin.
