免疫功能正常患者化脓性牙源性感染相关的中间链球菌致多发性肝脓肿。
Multiple liver abscesses with isolation of Streptococcus intermedius related to a pyogenic dental infection in an immuno-competent patient.
机构信息
Department of Gastroenterology, Hepatology and Infectiology, University Hospital Düsseldorf, Düsseldorf, Germany.
出版信息
Eur J Med Res. 2010;15(7):319-22. doi: 10.1186/2047-783x-15-7-319.
Abstract
INTRODUCTION
Streptococcus intermedius - a member of the Streptococcus anginosus group - is part of the normal microbial flora of the oral cavity. Despite being regarded as a harmless apathogenic commensal, Streptococcus intermedius has been described to cause abscesses in various locations of the body.
CASE PRESENTATION
We report the clinical case and course of treatment of a 18-year-old male patient presenting with multiple hepatic abscesses associated with an untreated pyogenic dental infection.
CONCLUSION
Streptococcus intermedius can cause liver abscesses emerging from dental infectious foci even in previously healthy patients without underlying innate or aquired immunodeficiency. The case illustrates the potential danger and underestimated risk associated with untreated dental infections.
摘要
简介
中间链球菌 - 咽峡链球菌群的一员 - 是口腔正常微生物菌群的一部分。尽管中间链球菌被认为是一种无害的无病共生体，但已被描述为可在身体的各个部位引起脓肿。
病例介绍
我们报告了一例 18 岁男性患者的临床病例和治疗过程，该患者患有多种肝脓肿，与未经治疗的化脓性牙感染有关。
结论
中间链球菌可引起肝脓肿，即使是来自牙源性感染灶的先前健康患者，也没有潜在的先天或获得性免疫缺陷。该病例说明了未治疗的牙感染的潜在危险和被低估的风险。
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