• 1.

    Newberry AM, Williams DN, Stauffer WM, Boulware DR, Hendel-Paterson BR, Walker PF, 2005. Strongyloides hyperinfection presenting as acute respiratory failure and gram-negative sepsis. Chest 128: 36813684.

    • Search Google Scholar
    • Export Citation
  • 2.

    Marcos LA, Terashima A, Dupont HL, Gotuzzo E, 2008. Strongyloides hyperinfection syndrome: an emerging global infectious disease. Trans R Soc Trop Med Hyg 102: 314318.

    • Search Google Scholar
    • Export Citation
  • 3.

    Saxena R, Adolph M, Ziegler JR, Murphy W, Rutecki GW, 1996. Pylephlebitis: a case report and review of outcome in the antibiotic era. Am J Gastroenterol 91: 12511253.

    • Search Google Scholar
    • Export Citation
  • 4.

    Plemmons RM, Dooley DP, Longfield RN, 1995. Septic thrombophlebitis of the portal vein (pylephlebitis): diagnosis and management in the modern era. Clin Infect Dis 21: 11141120.

    • Search Google Scholar
    • Export Citation
  • 5.

    Ghoshal UC, Ghoshal U, Jain M, Kumar A, Aggarwal R, Misra A, Ayyagari A, Naik SR, 2002. Strongyloides stercoralis infestation associated with septicemia due to intestinal transmural migration of bacteria. J Gastroenterol Hepatol 17: 13311333.

    • Search Google Scholar
    • Export Citation
  • 6.

    Soro Y, 1948. Pylephlebitis and liver abscesses due to appendicitis. J Int Coll Surg 11: 464468.

  • 7.

    Kanellopoulou T, Alexopoulou A, Theodossiades G, Koskinas J, Archimandritis AJ, 2010. Pylephlebitis: an overview of non-cirrhotic cases and factors related to outcome. Scand J Infect Dis 42: 804811.

    • Search Google Scholar
    • Export Citation
  • 8.

    Rosenthal GA, Levy G, Rotstein OD, 1989. Induction of macrophage procoagulant activity by Bacteroides fragilis. Infect Immun 57: 338343.

  • 9.

    Baril N, Wren S, Radin R, Ralls P, Stain S, 1996. The role of anticoagulation in pylephlebitis. Am J Surg 172: 449452.

 

 

 

 

Bacteroides-Associated Pylephlebitis in a Patient with Strongyloidiasis

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  • Departments of Infection, General Medicine, and Nuclear Medicine, Guy's and St. Thomas's National Health Service Trust, London, United Kingdom

Strongyloidiasis is associated with Gram-negative bacteremia. Septic portal vein thrombosis or pylephlebitis is a rare but serious complication of intra-abdominal infection, and it is often associated with Bacteroides bacteremia. We present the first report of pylephlebitis with Bacteroides bacteremia associated with underlying Strongyloides stercoralis infection and briefly review the management of septic portal vein thrombosis.

Author Notes

* Address correspondence to Neil R. Stone, Lambeth Palace Road, London SE1 7EH, United Kingdom. E-mail: neil.stone@nhs.net

Authors' addresses: Neil R. H. Stone, Thomas Martin, Jason Biswas, Jessica Barrett, and William Newsholme, Department of Infection, St. Thomas' Hospital, London, United Kingdom, E-mails: Neil.stone@nhs.net, Thomas.martin@gstt.nhs.uk, jason.biswas@fph-tr.nhs.uk, Jessica.barrett@gstt.nhs.uk, and William.newsholme@gstt.nhs.uk. Tom Hickish, Department of General Medicine, St. Thomas' Hospital, London, United Kingdom, E-mail: Tom.hickish@gstt.nhs.uk. Dhruba Dasgupta, Department of Nuclear Medicine, Guy's and St. Thomas' National Health Service Trust, London, United Kingdom, E-mail: Drubha.dasgupta@gstt.nhs.uk.

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