• Internal medicine · Mar 2024

    Case Reports

    Pylephlebitis Caused by Bacillus Subtilis and Fusobacterium Nucleatum: A Case Report.

    • Tatsuya Ochi, Koji Oh, and Hiroki Konishi.
    • Department of General Internal Medicine, Kobe City Medical Center West Hospital, Japan.
    • Intern. Med. 2024 Mar 15; 63 (6): 799802799-802.

    AbstractA 90-year-old man presented with a 3-day history of general malaise. He was febrile (39.3°C) but the initial evaluation did not reveal the cause of the fever. After admission, Bacillus subtilis and Fusobacterium nucleatum were grown from multiple sets of blood cultures. In addition, contrast-enhanced computed tomography revealed thrombi in the portal vein and superior mesenteric vein; he was diagnosed with pylephlebitis. After receiving antimicrobial treatment and anticoagulation, the patient was cured. Pylephlebitis is a rare condition and may be the cause of unknown fevers. This is the first reported case of pylephlebitis caused by Bacillus subtilis.

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