Bacteroides-Associated Pylephlebitis in a Patient with Strongyloidiasis

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

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

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

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

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

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

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

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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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