Sadia Pérez D, Cea-Calvo L, Aguado García J M, Ruiz Ilundain G, López Martín A, González Gómez C
Servicio de Medicina Interna, Hospital 12 de Octubre, Madrid.
Rev Clin Esp. 2001 Jun;201(6):322-6. doi: 10.1016/s0014-2565(01)70834-x.
Hepatic involvement in infections caused by Brucella organisms is common but the production of liver abscess is exceptional. Therefore, the most appropriate therapeutic approach is unclear. The use of antibiotics can be effective but in some cases abscess drainage is required. We report here a case of brucellar hepatic abscess and a review of fourteen cases reported in the literature. An emphasis is laid on the clinical, laboratory and radiological findings, treatment, and patient evolution. On the basis of the reported cases a therapeutic approach is proposed.
布鲁氏菌属微生物引起的感染中肝脏受累很常见，但肝脓肿的形成却很罕见。因此，最合适的治疗方法尚不清楚。使用抗生素可能有效，但在某些情况下需要进行脓肿引流。我们在此报告一例布鲁氏菌性肝脓肿病例，并对文献中报道的14例病例进行综述。重点关注临床、实验室和影像学检查结果、治疗及患者病情演变。基于所报道的病例，提出了一种治疗方法。
