Korean J Med.
2009 May;76(5):622-626.
A case of pylephlebitis with Streptococcus viridans and Bacteroides fragilis bacteremia secondary to diverticulitis
- Affiliations
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- 1Department of Internal Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea. kysun@dmc.or.kr
- 2Department of Diagnostic Radiology, Bundang Jesaeng General Hospital, Seongnam, Korea.
- 3Department of Laboratory Medicine, Bundang Jesaeng General Hospital, Seongnam, Korea.
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.
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