Bytyci Faton, Khromenko Elena
SHH, Allentown, Pennsylvania, USA.
BMJ Case Rep. 2016 Mar 1;2016:bcr2015210235. doi: 10.1136/bcr-2015-210235.
A 57-year-old man with no significant medical history was admitted to the hospital, with high-grade fever and right upper quadrant pain. He was found, on abdominal ultrasound, to have a right lobe hepatic cystic lesion. MRI of the abdomen confirmed a hepatic abscess. Cultures obtained under CT guidance showed the abscess to be caused by Fusobacterium necrophorum. This is a rare bacterium that can cause potentially fatal liver abscesses. Following drainage and intravenous antibiotic treatment, the patient improved and was discharged on a 4-week antibiotic course. An abdominal CT, performed 6 weeks after discharge, showed total resolution of the abscess. The patient had, 2 weeks prior to the development of the liver abscess, undergone routine dental cleaning. Neither upper respiratory symptoms nor sore throat had been identified prior to the presentation.
一名57岁无重大病史的男性因高热和右上腹疼痛入院。腹部超声检查发现他右叶有一个肝囊性病变。腹部MRI证实为肝脓肿。CT引导下获取的培养物显示脓肿由坏死梭杆菌引起。这是一种罕见的细菌，可导致潜在致命的肝脓肿。经过引流和静脉抗生素治疗，患者病情好转并出院，接受为期4周的抗生素疗程。出院6周后进行的腹部CT显示脓肿完全消退。该患者在肝脓肿发生前2周接受了常规牙齿清洁。在出现症状之前未发现上呼吸道症状或咽痛。
