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一名12岁健康男孩患肺炎克雷伯菌所致肝脓肿。

Liver abscess due to Klebsiella pneumoniae in a healthy 12-year-old boy.

作者信息

Yoon Da Hye, Jeon Yeon Jin, Bae E Young, Jeong Dae Chul, Kang Jin Han

机构信息

Department of Pediatrics, The Catholic University of Korea College of Medicine, Seoul, Korea.

出版信息

Korean J Pediatr. 2013 Nov;56(11):496-9. doi: 10.3345/kjp.2013.56.11.496. Epub 2013 Nov 27.

DOI:10.3345/kjp.2013.56.11.496
PMID:24348663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3859883/
Abstract

Pyogenic liver abscess (PLA) is rare in healthy children. We report a case of PLA in an immunocompetent 12-year-old boy. Percutaneous catheter drainage was performed for the abscess. In addition, parenteral antibiotics were administered for 3 weeks. Klebsiella pneumoniae was detected in the culture of blood and drained fluid. Here, we present this case and a brief review of the literature on this subject.

摘要

化脓性肝脓肿（PLA）在健康儿童中较为罕见。我们报告一例免疫功能正常的12岁男孩患化脓性肝脓肿的病例。对该脓肿进行了经皮导管引流。此外，给予了3周的肠外抗生素治疗。在血液和引流液培养中检测到肺炎克雷伯菌。在此，我们呈现该病例并对关于此主题的文献进行简要综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b819/3859883/4e9ee7db4a92/kjped-56-496-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b819/3859883/2e97c5ed3582/kjped-56-496-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b819/3859883/4e9ee7db4a92/kjped-56-496-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b819/3859883/2e97c5ed3582/kjped-56-496-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b819/3859883/4e9ee7db4a92/kjped-56-496-g002.jpg

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Virulence. 2017 Oct 3;8(7):1111-1123. doi: 10.1080/21505594.2017.1317412. Epub 2017 Apr 12.
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Genetic diversity of Klebsiella pneumoniae isolates during an outbreak in a non-human primate research colony.非人灵长类动物研究群体中肺炎克雷伯菌爆发期间分离株的遗传多样性。
J Med Primatol. 2016 Dec;45(6):312-317. doi: 10.1111/jmp.12229. Epub 2016 Aug 1.

本文引用的文献

1
Klebsiella pneumoniae in gastrointestinal tract and pyogenic liver abscess.肠道和化脓性肝脓肿中的肺炎克雷伯菌。
Emerg Infect Dis. 2012 Aug;18(8):1322-5. doi: 10.3201/eid1808.111053.
2
Liver abscess in children: a 10-year single centre experience.儿童肝脓肿：10 年单中心经验。
Saudi J Gastroenterol. 2011 May-Jun;17(3):199-202. doi: 10.4103/1319-3767.80384.
3
A case of pyogenic liver abscess in a 10-year-old girl.一名10岁女孩患化脓性肝脓肿的病例。
Korean J Pediatr. 2010 May;53(5):666-8. doi: 10.3345/kjp.2010.53.5.666. Epub 2010 May 31.
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Liver abscess in children: an overview.儿童肝脓肿：概述。
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Pediatric pyogenic liver abscess.小儿化脓性肝脓肿
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Liver abscess in children.儿童肝脓肿
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Solitary liver abscess in a healthy child presenting with fever of unknown origin.一名健康儿童出现不明原因发热，伴有孤立性肝脓肿。
Eur J Pediatr Surg. 2005 Jun;15(3):193-5. doi: 10.1055/s-2004-830342.
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[Recent changes of organism and treatment in pyogenic liver abscess].[化脓性肝脓肿的病原体及治疗的近期变化]
Taehan Kan Hakhoe Chi. 2003 Dec;9(4):275-83.
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Occurrence of Klebisiella pneumoniae in surface waters.地表水中华氏肺炎克雷伯菌的存在情况。
Appl Microbiol. 1975 May;29(5):595-7. doi: 10.1128/am.29.5.595-597.1975.