三例与咽峡炎链球菌群相关的肝脓肿病例

[Three cases of liver abscess associated with the Streptococcus anginosus group].

作者信息

Shigefuku Ryuta, Suzuki Michihiro, Kobayashi Minoru, Michikawa Yosuke, Hiraishi Tetsuya, Ikeda Hiroki, Takahashi Hideaki, Matsunaga Kotaro, Ishii Toshiya, Matsumoto Nobuyuki, Okuse Chiaki, Satoh Akira, Itoh Fumio

机构信息

Division of Gastroenterology and Hepatology, St. Marianna University School of Medicine, Japan.

出版信息

Nihon Shokakibyo Gakkai Zasshi. 2013 Aug;110(8):1468-80.

PMID:23912007

Abstract

Reports of pyogenic liver abscess (PLA) caused by the Streptococcus anginosus group (SAG) have increased. Coinfection with SAG and anaerobic bacteria enhances the tendency for abscess formation. Furthermore, it has been reported that SAG infection results in pylethrombophlebitis as a complication. We experienced 3 cases of PLA caused by SAG: one case was complicated by the development of pylethrombophlebitis and the other 2 cases had coinfection with anaerobic bacteria. We report these cases together with bibliographic consideration of 23 cases previously reported in Japan.

摘要

由咽峡炎链球菌群（SAG）引起的化脓性肝脓肿（PLA）的报告有所增加。SAG与厌氧菌的合并感染会增强脓肿形成的倾向。此外，据报道SAG感染会导致门静脉血栓性静脉炎作为并发症。我们经历了3例由SAG引起的PLA：1例并发门静脉血栓性静脉炎，另外2例合并厌氧菌感染。我们报告这些病例，并对日本此前报道的23例病例进行文献回顾。