曼氏血吸虫病患者的化脓性肝脓肿
Pyogenic liver abscess in patients with schistosomiasis mansoni.
作者信息
Goldani Luciano Z, dos Santos Rodrigo Pires, Sugar Alan M
机构信息
Infectious Diseases Unit, Departmento de Medicina Interna, Hospital de Clínicas de Porto Alegre, Ramiro Barcelos 2350, Porto Alegre, RS, 90035, Brazil.
出版信息
Trans R Soc Trop Med Hyg. 2005 Dec;99(12):932-6. doi: 10.1016/j.trstmh.2005.04.018. Epub 2005 Sep 12.
Schistosomiasis mansoni has been described as a predisposing factor for pyogenic liver abscess formation. Previous experimental studies have shown that acute schistosomiasis concurrent with Staphylococcus aureus bacteremia favors the colonization of the liver by the bacteria, and subsequent pyogenic liver abscess formation. In addition, clinical studies and case reports have demonstrated the association of schistosomiasis mansoni with pyogenic liver abscesses. We describe a Brazilian patient with chronic schistosomiasis mansoni who developed recurrent pyogenic liver abscesses due to Pseudomonas aeruginosa. The authors review the clinical, diagnostic and treatment aspects of patients with schistosomiasis and pyogenic liver abscess reported in the medical literature.
曼氏血吸虫病被认为是化脓性肝脓肿形成的一个易感因素。先前的实验研究表明，急性血吸虫病合并金黄色葡萄球菌菌血症有利于细菌在肝脏定植，进而形成化脓性肝脓肿。此外，临床研究和病例报告已证实曼氏血吸虫病与化脓性肝脓肿有关。我们描述了一名患有慢性曼氏血吸虫病的巴西患者，该患者因铜绿假单胞菌反复发生化脓性肝脓肿。作者回顾了医学文献中报道的血吸虫病合并化脓性肝脓肿患者的临床、诊断和治疗方面的情况。
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