Houston Hamish, Kumar Kartik, Sajid Salman
North Middlesex University Hospital NHS Trust, London, UK.
BMJ Case Rep. 2017 Sep 23;2017:bcr-2017-221476. doi: 10.1136/bcr-2017-221476.
A 66-year-old male patient presented with symptoms and signs of L4/5 radiculopathy. He was found to be anaemic with elevated inflammatory markers and deranged hepatic enzymes. Imaging revealed lumbar canal stenosis and the presence of pyogenic liver abscesses from which and were isolated. The hepatic abscesses were attributed to asymptomatic diverticular perforation. Multiple coexisting incidental infections were discovered, including oesophageal candidiasis, , stool cultures positive for and sputum cultures positive for , and Extensive investigations for possible underlying immunosuppression were negative.
一名66岁男性患者出现L4/5神经根病的症状和体征。发现他贫血,炎症标志物升高,肝酶紊乱。影像学检查显示腰椎管狭窄以及存在化脓性肝脓肿,从中分离出了[具体细菌名称1]和[具体细菌名称2]。肝脓肿归因于无症状的憩室穿孔。发现了多种并存的偶发性感染,包括食管念珠菌病、[具体疾病名称1]、粪便培养[具体细菌名称3]阳性以及痰培养[具体细菌名称4]、[具体细菌名称5]和[具体细菌名称6]阳性。对可能存在的潜在免疫抑制进行的广泛检查结果均为阴性。