由乳脂链球菌引起的肝脓肿和脓胸。
Liver abscess and empyema due to Lactococcus lactis cremoris.
机构信息
Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
出版信息
J Korean Med Sci. 2010 Nov;25(11):1669-71. doi: 10.3346/jkms.2010.25.11.1669. Epub 2010 Oct 26.
Abstract
Lactococcus lactis cremoris infections are very rare in humans. We experienced liver abscess and empyema due to L. lactis cremoris in an immunocompetent adult. A 42-yr-old man was admitted with fever and abdominal pain. Abdominal computed tomography (CT) revealed a liver abscess and chest CT showed loculated pleural effusion consistent with empyema. L. lactis cremoris was isolated from culture of the abscess material and blood. The patient was treated with pus drainage from liver abscess, video-assisted thoracoscopic decortications for empyema, and antibiotics including cefotaxime and levofloxacin. The patient was completely recovered with the treatment. To our knowledge, this is the first report of a L. lactis cremoris infection in Korea.
摘要
乳脂乳球菌感染在人类中非常罕见。我们在一名免疫功能正常的成年人中遇到了由乳脂乳球菌引起的肝脓肿和脓胸。一名 42 岁男性因发热和腹痛入院。腹部计算机断层扫描（CT）显示肝脓肿，胸部 CT 显示分隔性胸腔积液符合脓胸。从脓肿材料和血液中分离出乳脂乳球菌。患者接受了肝脓肿脓液引流、电视辅助胸腔镜去皮质术治疗脓胸以及包括头孢噻肟和左氧氟沙星在内的抗生素治疗。患者经治疗完全康复。据我们所知，这是韩国首例乳脂乳球菌感染报告。
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