Case Report

Fusobacterium necrophorum subsp. necrophorum Liver Abscess with Pylephlebitis: An Abdominal Variant of Lemierre’s Syndrome

Table 1

Summary of extensive workup that was done to investigate etiology of portal vein thrombosis in our patient. It includes three disease categories that are most commonly associated with development of PVT. All listed laboratory tests were either negative or the values were within normal limits.

Prothrombic disorders (inherited and acquired)Occult malignancyCirrhosis

JAK 2 V617 F mutation
Fibrinogen
Thrombin time
Protein C levels
Protein S levels
Factor V Leiden mutation
ANA
PTT
Anti-β2 glycoprotein antibodies
Antithrombin functional activity
Lupus anticoagulant
Anticariolipin antibodies
CEA
CA-19- 9
AFP
PSA
Abdominal CT scan
Abdominal MRI
Platelets
INR
Albumin
Total bilirubin
Abdominal US
Abdominal CT scan
Abdominal MRI
HBV antigen and antibodies
HCV antibodies

AFP, alfa-fetoprotein; ANA, anti-nuclear antibodies; CA, carbohydrate antigen; CEA, carcinoembryonic antigen; CT, computed tomography; HBC, hepatitis B virus; HCV, hepatitis C virus; INR, international normalized ratio; MRI, magnetic resonance imaging; PSA, prostate specific antigen; PTT, partial thromboplastin time; US, ultrasound. The values of these tests might not be accurate during the acute phase of thrombosis.