Byun Jung Lim, Bae Sun Hwan, Park Sang Woo
Department of Pediatrics, School of Medicine, Konkuk University, Seoul, Korea.
Korean J Pediatr. 2010 May;53(5):666-8. doi: 10.3345/kjp.2010.53.5.666. Epub 2010 May 31.
Pyogenic liver abscesses are rare in children. In pediatric patients, altered host defences seem to play an important role. However, pyogenic liver abscess also occurs in healthy children. We experienced a case of pyogenic liver abscess in a healthy immunocompetent 10-year-old-girl. The patient presented two distinct abscesses: one subphrenic and the other intrahepatic. The intrahepatic abscess resolved with percutaneous drainage and 3 weeks of parenteral antibiotic therapy but the subphrenic abscess which could not be drained needed prolonged parenteral antibiotic therapy in addition to oral antibiotic therapy. We performed follow-up serial CT scan of the abscess cavity to decide on the duration of antibiotic therapy. Here we present this case with a brief review of the literature.
化脓性肝脓肿在儿童中较为罕见。在儿科患者中，宿主防御功能的改变似乎起着重要作用。然而，化脓性肝脓肿也会发生在健康儿童身上。我们遇到了一例健康的、免疫功能正常的10岁女孩患化脓性肝脓肿的病例。该患者有两个不同的脓肿：一个在膈下，另一个在肝内。肝内脓肿通过经皮引流和3周的静脉抗生素治疗得以消退，但无法引流的膈下脓肿除口服抗生素治疗外，还需要延长静脉抗生素治疗时间。我们对脓肿腔进行了系列CT随访扫描，以确定抗生素治疗的持续时间。在此，我们介绍该病例并简要回顾相关文献。
