Choi Jeong Woo, Choi Sung Jun, Kwon Hyeock Choon, Cheong Jae Youn, Lee Ki Myung, Yoo Byeong Moo, Hahm Ki Baik, Kim Jin Hong, Cho Sung Won
Department of Gastroenterology, Ajou University School of Medicine, Suwon, Korea.
Korean J Gastroenterol. 2006 Apr;47(4):316-9.
Liver abscess can be caused by bacterial, parasitic, or fungal infection. Amebic abscesses are more common, but pyogenic abscesses account for three quarters of hepatic abscess in developed countries. Most common pathogens of the pyogenic liver abscess are Escherichia coli, Klebsiella pneumoniae, Bacteroides, Enterococci, Streptococci, and Staphylococci. However, liver abscess caused by Salmonella species has rarely been reported. We experienced a case of Salmonella liver abscess which improved after antibiotic therapy and percutaneous drainage. The patient was 52 years-old man who had an episode of intermittent fever, chills and epigastric pain for 2 weeks. He was diagnosed as liver cirrhosis eight years ago and diabetes three years ago. Salmonella group D, non-typhi was cultured from blood and pus from the liver respectively at the same time. With percutaneous drainage and susceptible antibiotic therapy, liver abscess decreased in size with improvements in fever and abdominal pain.
肝脓肿可由细菌、寄生虫或真菌感染引起。阿米巴脓肿较为常见，但在发达国家，化脓性脓肿占肝脓肿的四分之三。化脓性肝脓肿最常见的病原体是大肠杆菌、肺炎克雷伯菌、拟杆菌属、肠球菌、链球菌和葡萄球菌。然而，由沙门氏菌引起的肝脓肿鲜有报道。我们遇到一例沙门氏菌肝脓肿患者，经抗生素治疗和经皮引流后病情好转。患者为一名52岁男性，两周来出现间歇性发热、寒战和上腹部疼痛。他八年前被诊断为肝硬化，三年前被诊断为糖尿病。同时分别从血液和肝脏脓液中培养出D群非伤寒沙门氏菌。经皮引流并采用敏感抗生素治疗后，肝脓肿体积缩小，发热和腹痛症状改善。
