Uehara Yuki, Takahashi Toshimi, Yagoshi Michiko, Shimoguchi Kazuo, Yanai Mitsuru, Kumasaka Kazunari, Kikuchi Ken
Department of Laboratory Medicine, Nihon University School of Medicine, Tokyo.
Intern Med. 2010;49(18):2017-20. doi: 10.2169/internalmedicine.49.3700. Epub 2010 Sep 15.
We had encountered a 74-year-old woman on hemodialysis therapy suffering from liver abscess of Actinomyces israelii. Percutaneous drainage of the abscess before starting antimicrobial therapy followed by correct microbiological identification and susceptibility test led us to determine long treatment with ampicillin and to a successful outcome. Periodontitis was thought to be a possible entry of actinomyces. Hepatic actinomycosis should be recognized as one of the important infectious diseases among patients of end-stage renal disease.
我们遇到了一位接受血液透析治疗的74岁女性,她患有以色列放线菌引起的肝脓肿。在开始抗菌治疗前对脓肿进行经皮引流,随后进行正确的微生物鉴定和药敏试验,这使我们决定使用氨苄西林进行长期治疗,并取得了成功的结果。牙周炎被认为是放线菌可能的侵入途径。肝放线菌病应被视为终末期肾病患者中的重要传染病之一。