{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:40:28Z","timestamp":1753882828461,"version":"3.41.2"},"reference-count":16,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p> Fusobacterium species are members of the oral microbiota and have been found to cause a wide spectrum of opportunistic infections. We describe the case of a previously healthy teenager with a large splenic abscess secondary to Fusobacterium nucleatum, successfully managed with percutaneous drainage and intravenous antibiotics. Identification of the organism was achieved using anaerobic culture of the aspirated fluid and matrix-assisted laser desorption\/ionization time of flight, later confirmed by 16S ribosomal RNA metagenomic sequencing of the fluid. Fusobacteria are typically associated with oropharyngeal infections but are very rarely implicated in splenic abscesses. Aerobic and anaerobic blood cultures should be drawn when an intra-abdominal infection is suspected in a paediatric patient, and empiric antimicrobial therapy should be administered with coverage for gram-positive, gram-negative, and anaerobic bacteria. <\/jats:p>","DOI":"10.1177\/2050313x21991059","type":"journal-article","created":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T04:55:27Z","timestamp":1612241727000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An unusual case of abdominal pain and splenomegaly in a paediatric patient"],"prefix":"10.1177","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8344-2012","authenticated-orcid":false,"given":"Eric J","family":"Eckbo","sequence":"first","affiliation":[{"name":"Division of Medical Microbiology & Infection Control, Department of Pathology & Laboratory Medicine, Vancouver General Hospital, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hana","family":"Mijovic","sequence":"additional","affiliation":[{"name":"Division of Pediatric Infectious Diseases, Department of Pediatrics, British Columbia Children\u2019s Hospital, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer","family":"Tam","sequence":"additional","affiliation":[{"name":"Division of Pediatric Infectious Diseases, Department of Pediatrics, British Columbia Children\u2019s Hospital, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M","family":"Goldfarb","sequence":"additional","affiliation":[{"name":"Division of Pediatric Infectious Diseases, Department of Pediatrics, British Columbia Children\u2019s Hospital, Vancouver, BC, Canada"},{"name":"Division of Medical Microbiology, Department of Pathology & Laboratory Medicine, British Columbia Children\u2019s Hospital, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias R","family":"Kollmann","sequence":"additional","affiliation":[{"name":"Division of Pediatric Infectious Diseases, Department of Pediatrics, British Columbia Children\u2019s Hospital, Vancouver, BC, Canada"},{"name":"Vaccine Evaluation Center, British Columbia Children\u2019s Hospital Research Institute, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,2,1]]},"reference":[{"key":"bibr1-2050313X21991059","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2017.07.050"},{"key":"bibr2-2050313X21991059","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2009.10.074"},{"key":"bibr3-2050313X21991059","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-013-3336-2"},{"key":"bibr4-2050313X21991059","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(97)00030-5"},{"key":"bibr5-2050313X21991059","doi-asserted-by":"publisher","DOI":"10.1016\/j.mib.2014.11.013"},{"key":"bibr6-2050313X21991059","doi-asserted-by":"publisher","DOI":"10.1055\/s-2004-817895"},{"key":"bibr7-2050313X21991059","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000001751"},{"key":"bibr8-2050313X21991059","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v12.i3.460"},{"key":"bibr9-2050313X21991059","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.13129"},{"key":"bibr10-2050313X21991059","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2016.12.042"},{"key":"bibr11-2050313X21991059","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-003-0868-y"},{"key":"bibr12-2050313X21991059","doi-asserted-by":"publisher","DOI":"10.1590\/S0036-46652011000300009"},{"key":"bibr13-2050313X21991059","doi-asserted-by":"publisher","DOI":"10.1097\/00003072-199507000-00025"},{"key":"bibr14-2050313X21991059","doi-asserted-by":"publisher","DOI":"10.1136\/bcr.07.2011.4527"},{"key":"bibr15-2050313X21991059","first-page":"9237267","volume":"2020","author":"Radovanovic N","year":"2020","journal-title":"Case Rep Infect Dis"},{"key":"bibr16-2050313X21991059","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(12)70089-0"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X21991059","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X21991059","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X21991059","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T15:26:18Z","timestamp":1740842778000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X21991059"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":16,"alternative-id":["10.1177\/2050313X21991059"],"URL":"https:\/\/doi.org\/10.1177\/2050313x21991059","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"type":"print","value":"2050-313X"},{"type":"electronic","value":"2050-313X"}],"subject":[],"published":{"date-parts":[[2021,1]]},"article-number":"2050313X21991059"}}