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镰状细胞病患者的耐甲氧西林金黄色葡萄球菌肝脓肿

Methicillin-resistant Staphylococcus aureus hepatic abscess in a patient with sickle-cell disease.

作者信息

Mancao M, Estrada B, Wilson F, Figarola M, Wesenberg R

机构信息

Department of Pediatrics, University of South Alabama College of Medicine, Mobile, AL 36604, USA.

出版信息

Int J Lab Hematol. 2007 Dec;29(6):474-7. doi: 10.1111/j.1365-2257.2006.00855.x.

Abstract

We report a case of a 16-year-old female patient with sickle-cell disease with a liver abscess secondary to methicillin-resistant Staphylococcus aureus (MRSA). She had initially presented with jaundice and abdominal pain and subsequently underwent endoscopic retrograde cholangio-pancreaticography followed by laparoscopic cholecystectomy for removal of gallstones. However, post-cholecystectomy she presented with generalized abdominal pain and computed tomography scan of the abdomen revealed a liver abscess. A pigtail catheter was inserted into the abscess and culture of the aspirate yielded MRSA (susceptibility pattern of the organism was compatible with community-acquired MRSA). She was treated with intravenous clindamycin for 6 weeks with complete resolution of the abscess.

摘要

我们报告一例16岁患有镰状细胞病的女性患者,其患有由耐甲氧西林金黄色葡萄球菌(MRSA)引起的肝脓肿。她最初表现为黄疸和腹痛,随后接受了内镜逆行胰胆管造影,之后又进行了腹腔镜胆囊切除术以去除胆结石。然而,胆囊切除术后她出现了全腹痛,腹部计算机断层扫描显示有肝脓肿。一根猪尾导管被插入脓肿,抽出物培养出MRSA(该菌株的药敏模式与社区获得性MRSA相符)。她接受了6周的静脉注射克林霉素治疗,脓肿完全消退。

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