β地中海贫血患者的耐多药结核性肝脓肿
Multidrug-resistant tubercular liver abscess in β-thalassemia.
作者信息
Agrawal Amit, Shrivastava Jyotsna, Singh Akhil
机构信息
Department of Pediatrics, Gandhi Medical College and Kamla Nehru Hospital, Bhopal, MP, India. Correspondence to: Dr Amit Agrawal, 28, Ravidas Nagar, Near Nizamuddin Colony, Indrapuri, Bhopal, MP 462 023, India.
出版信息
Indian Pediatr. 2014 May;51(5):401-2.
BACKGROUND
Liver abscesses in thalassemics are predominantly pyogenic.
CASE CHARACTERISTICS
12-year-old thalassemic boy with abdominal pain and high grade fever for 15 days.
OBSERVATION
CT abdomen revealed multiple liver abscesses. Pus culture and sensitivity showed multidrug-resistant mycobacteria. Patient was started on second line anti-tubercular drugs.
OUTCOME
He responded well with symptomatic improvement and is doing well after 6 months of follow-up.
MESSAGE
Liver abscess in patients with thalassemia rarely can be tubercular.
背景
地中海贫血患者的肝脓肿主要为化脓性。
病例特征
一名12岁地中海贫血男孩，腹痛伴高热15天。
观察结果
腹部CT显示多个肝脓肿。脓液培养及药敏试验显示为耐多药分枝杆菌。患者开始使用二线抗结核药物治疗。
结果
患者症状改善，反应良好，随访6个月后情况良好。
要点
地中海贫血患者的肝脓肿很少由结核引起。
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