Gana Tabitha M, Awolaran Olugbenga, Akhtar Sobia
Department of General Surgery, Doncaster and Bassetlaw NHS Trust, Armthorpe Road, Doncaster DN2 5LT, UK.
Case Rep Surg. 2016;2016:6297953. doi: 10.1155/2016/6297953. Epub 2016 May 30.
We report a case of recurrent intra-abdominal abscesses as a postoperative complication following diverticular perforation in which Streptococcus milleri (SM) was isolated. SM is evaluated here as a potent pyogenic organism commonly associated with intra-abdominal abscess especially in the postoperative setting. With the commonly adopted conservative management, the challenges of recurrence and prolonged hospital stay experienced in the indexed case as well as many other previous reports are highlighted. We also present a recommendation of the need for a more intensive approach of SM-related abscess drainage along with areas that would benefit further research.
我们报告了一例憩室穿孔术后复发性腹腔内脓肿病例,从中分离出米勒链球菌(SM)。本文将SM评估为一种常见的化脓性强的微生物,尤其在术后常与腹腔内脓肿相关。通过普遍采用的保守治疗方法,强调了该索引病例以及许多其他先前报告中所经历的复发和住院时间延长的挑战。我们还提出了一项建议,即需要对与SM相关的脓肿引流采取更积极的方法,以及指出哪些领域将从进一步研究中受益。