Korean J Med > Volume 76(5); 2009 > Article
The Korean Journal of Medicine 2009;76(5):622-626.
A case of pylephlebitis with Streptococcus viridans and Bacteroides fragilis bacteremia secondary to diverticulitis
Bon-Ho Ku, Young-Saeng Kim, Jong-Hun Kim, Yu-Kyong Choi, Jae-Woo Yeon, Seong-Gyu Lee, Sue-Yun Kim
장게실염에 동반된 Streptococcus viridans와 Bacteroides fragilis 균혈증에 의한 문맥염 1예
구본호, 김영생, 김종훈, 최유경, 연재우, 이성규, 김수연
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.
Key Words: Pylephlebitis; Bacteremia; Diverticulitis


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