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August 15, 2025CureusOpen Access

Polymicrobial Pyogenic Liver Abscess Without Classical Risk Factors: A Case Report of Streptococcus constellatus and Fusobacterium nucleatum Infection

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Authors

DBD. W. BarronSWSusan WallaceDRDouglas E Rappaport

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Overview

Case highlights a rare pyogenic liver abscess caused by Streptococcus and Fusobacterium, without traditional risk factors.

Key Points

  • A 69-year-old female developed a large hepatic abscess despite lacking classical risk factors, highlighting an atypical presentation.
  • Cultures identified Streptococcus constellatus and Fusobacterium nucleatum, emphasizing the polymicrobial nature of the infection.
  • Interventional radiology was used for drainage, followed by a transition to amoxicillin-clavulanate for outpatient management.
  • Timely detection through imaging and laboratory tests was crucial, supporting the need for vigilance in unexplained infections.

Cite This Study

Barron et al. (2025) studied this question.

synapsesocial.com/papers/68af6c0b7567bf4f94fe9f4dhttps://doi.org/10.7759/cureus.90195
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