A rare case of Bilophila wadsworthia bacteremia presenting as multiple hepatic abscesses: A case report and literature review

Introduction: is a rare anaerobic, bile-resistant, Gram-negative bacillus and emerging opportunistic pathogen implicated in intra-abdominal and hepatobiliary infections. Its role in hepatic abscesses remains underrecognized due to fastidious growth requirements and diagnostic challenges. Case presentation: and mixed anaerobes. She was managed with percutaneous drainage and a six-week course of intravenous antibiotics, followed by oral amoxicillin-clavulanate. Despite initial clinical improvement, her course was complicated by pleural effusions, ileus, malnutrition, and prolonged hospitalization. Discussion: is a rare but significant contributor to polymicrobial hepatic infections, particularly in patients with prior dental disease or intra-abdominal pathology. Early identification using molecular diagnostics, source control, and prolonged antibiotic therapy are essential for favorable outcomes. Conclusion: in the differential diagnosis of polymicrobial intra-abdominal infections. This case adds to the limited literature and underscores the importance of advanced diagnostics in detecting rare anaerobic pathogens.