PDF(Pubmed)
Abstract：
A 90-year-old man presented with a 3-day history of general malaise. He was febrile (39.3°C) but the initial evaluation did not reveal the cause of the fever. After admission, Bacillus subtilis and Fusobacterium nucleatum were grown from multiple sets of blood cultures. In addition, contrast-enhanced computed tomography revealed thrombi in the portal vein and superior mesenteric vein; he was diagnosed with pylephlebitis. After receiving antimicrobial treatment and anticoagulation, the patient was cured. Pylephlebitis is a rare condition and may be the cause of unknown fevers. This is the first reported case of pylephlebitis caused by Bacillus subtilis.
摘要：
一名90岁的男子有3天的全身不适史。他发热（39.3°C），但初步评估未揭示发热的原因。入院后,枯草芽孢杆菌和核梭杆菌从多组血液培养物中生长。此外,对比增强计算机断层扫描显示门静脉和肠系膜上静脉血栓；他被诊断为静脉炎。在接受抗菌治疗和抗凝治疗后，病人痊愈了。静脉炎是一种罕见的疾病，可能是未知发烧的原因。这是第一例报道的由枯草芽孢杆菌引起的静脉炎病例。
