因紫色色杆菌引起的多发性肝脓肿伴皮肤脓疱

Matsuura Naoki, Miyoshi Megumi, Doi Nana, Yagi Saori, Aradono Etsuko, Imamura Takuroh, Koga Rintaro

Department of Internal Medicine, Koga General Hospital, Japan.

Department of Clinical Laboratory, Koga General Hospital, Japan.

Intern Med. 2017 Sep 15;56(18):2519-2522. doi: 10.2169/internalmedicine.8682-16. Epub 2017 Aug 21.

A 69-year-old woman was admitted to our hospital with the chief complaints of fever and fatigue. We initially treated the patient for a tick-borne disease after noticing a pustule on her leg; however, abdominal computed tomography (CT) showed multiple low-density areas in the liver and Chromobacterium violaceum was isolated from a blood culture. We diagnosed her with multiple liver abscesses secondary to Chromobacterium violaceum bacteremia. The patient was successfully treated with ciprofloxacin.

一名69岁女性因发热和乏力为主诉入院。我们在注意到她腿部有一个脓疱后，最初将该患者作为蜱传播疾病进行治疗；然而，腹部计算机断层扫描（CT）显示肝脏有多个低密度区，且血培养分离出紫色色杆菌。我们诊断她为紫色色杆菌菌血症继发的多发性肝脓肿。该患者接受环丙沙星治疗成功。