Fusobacterium nucleatum infection leading to rare hepatorenal abscess: a case report

<i>Fusobacterium nucleatum</i> is a gram-negative anaerobic bacterium commonly associated with periodontal disease. However, its role in extraoral infections, particularly in immunocompetent individuals, is increasingly recognized. We report a rare case of hepatorenal abscess caused by F. nucleatum in a previously healthy woman, initially suspected to have a malignant tumor based on PET-CT findings. Next-generation sequencing (NGS) of abscess aspirate confirmed the pathogen. The patient responded well to targeted antibiotic therapy. This case highlights the importance of considering anaerobic pathogens in deep-seated abscesses and the utility of NGS in achieving accurate microbial diagnosis.

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Journal
Frontiers in Medicine
Published
2025-08-28
DOI
https://doi.org/10.3389/fmed.2025.1540430
Primary Topic
Otolaryngology and Infectious Diseases
Type
article
Field-Weighted Citation Impact
0.00

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article

Fusobacterium nucleatum infection leading to rare hepatorenal abscess: a case report

Runzhen Zhang, Naifang Ye, Qin Wang, Xu Shen et al.
Frontiers in Medicine
Otolaryngology and Infectious Diseases
article

Fusobacterium nucleatum infection leading to rare hepatorenal abscess: a case report

Runzhen Zhang, Naifang Ye, Qin Wang, Xu Shen, Wenwen Chu, Guizhou Zou, Hong Zhao, C. Chen, Lei Chen, Xian Wang, Jinjin Li, Lei Jin, Yuan Ji, Jun Ye
article en

Abstract

<i>Fusobacterium nucleatum</i> is a gram-negative anaerobic bacterium commonly associated with periodontal disease. However, its role in extraoral infections, particularly in immunocompetent individuals, is increasingly recognized. We report a rare case of hepatorenal abscess caused by F. nucleatum in a previously healthy woman, initially suspected to have a malignant tumor based on PET-CT findings. Next-generation sequencing (NGS) of abscess aspirate confirmed the pathogen. The patient responded well to targeted antibiotic therapy. This case highlights the importance of considering anaerobic pathogens in deep-seated abscesses and the utility of NGS in achieving accurate microbial diagnosis.

Frontiers in MedicineVol. 12
Anhui Medical University (CN), Second Affiliated Hospital of Anhui Medical University (CN)
Anhui Medical University
Openalex Percentile: Top 73%
Otolaryngology and Infectious Diseases
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