ISSN 2185-8136
JOURNAL OF HOSPITAL GENERAL MEDICINE
SEPTEMBER 2020 Volume 2-5
Case report
A case of Fusobacterium nucleatum infection causing
thrombophlebitis of the cavernous sinus diagnosed
by lung abscess sampling under video-assisted
thoracoscopic surgery・・・・・・・・・・Masaki Kakimoto 120
A Case of Cutaneous Arthritis Differentiate from
Drug Eruption・・・・・・・・・・Masao Nawata 127
Brief report
Case report
A case of Fusobacterium nucleatum infection causing
thrombophlebitis of the cavernous sinus diagnosed
by lung abscess sampling under video-assisted
thoracoscopic surgery
Tomoki Kobayashi 1) Akihiro Kawahara 1) Yuichiro Otani 1)
Yuka Kikuchi 1) Ryoko Ishida 2) Kazuki Kimura 1)
Nobusuke Kishikawa 1) Susumu Tazuma 3) Masanori Ito 1)
1）Department of General Internal Medicine, Hiroshima University Hospital
2）Department of Community Based Medical System, Graduate School of Biomedical and Health Sciences, Hiroshima University
3）JA Hiroshima Kouseiren Onomichi General Hospital
A 37-year-old man presented to our hospital with a history of diplopia, orbital pain, and right eyelid ptosis. Magnetic resonance imaging (MRI) revealed an enlarged right cavernous sinus and internal carotid artery stenosis. Computed tomography (CT) showed multiple pulmonary nodules, some of which had formed cavities. Routine bacterial cultures from cerebrospinal fluid, sputum, and blood were all negative. Because neurological impairment rapidly progressed, urgent diagnosis was strongly required. Hence, lung tissue samples were obtained using video- assisted thoracoscopic surgery (VATs), providing a definitive diagnosis of Fusobacterium nucleatum (F. nucleatum) infection. After treatment with antimicrobial therapy, steroids, and anticoagulant therapy, he recovered without sequelae and was discharged on day 49.
Key Words：Fusobacterium nucleatum, cavernous sinus thrombosis, lung abscess, lung biopsy,
video-assisted thoracoscopic surgery
Case report
A Case of Cutaneous Arthritis Differentiate
from Drug Eruption
Atsuko Yamamoto, MD 3) Aya Nawata, MD, PhD 4) Kazuyoshi Saito, MD, PhD 1)
1）Department of General Medicine, Department of General Medicine and Clinical Immunology and Rheumatology, Tobata General Hospital
2）The First Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health
3）Department of Dermatology, Kenwakai Otemachi Hospital
4）Department of Pathology, School of Medicine, University of Occupational and Environmental Health
Brief report
Purple Urine Bag Syndrome
Ei Miyasaka 2) Fumio Otsuka 1)
1）Department of General Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
2）Department of General Medicine, Fujii Hospital