A组β溶血性链球菌引起的脾脓肿。
Splenic abscess caused by group A beta-haemolytic streptococcus.
作者信息
Chang K W, Chiu C H, Jaing T H, Wong H F
机构信息
Department of Paediatrics, Chang Gung Children's Hospital, Kweishan, Taoyuan, Taiwan.
出版信息
Acta Paediatr. 2003 Apr;92(4):510-1. doi: 10.1111/j.1651-2227.2003.tb00589.x.
UNLABELLED
A case of a pyoderma complicated with splenic abscess and bacteraemia caused by group A streptococcus was treated successfully with antibiotics alone for 4 weeks. To our knowledge, this is the first reported case of splenic abscess associated with group A streptococcal bacteraemia. Advances in antibiotic therapy and imaging techniques have improved the management and outcomes of splenic abscesses. Clinicians should be aware of the possibility of splenic abscess after a pyoderma or a sepsis-like episode.
CONCLUSION
Splenic abscesses can be diagnosed by serial ultrasound or CT scan examinations and should be treated with antibiotics for 4-6 weeks.
未标注
1例脓疱病合并A组链球菌引起的脾脓肿和菌血症患者仅用抗生素成功治疗4周。据我们所知，这是首例报道的与A组链球菌菌血症相关的脾脓肿病例。抗生素治疗和成像技术的进步改善了脾脓肿的管理和治疗效果。临床医生应意识到脓疱病或脓毒症样发作后发生脾脓肿的可能性。
结论
脾脓肿可通过连续超声或CT扫描检查诊断，应使用抗生素治疗4至6周。
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