Rawla Prashanth, Vellipuram Anantha R, Bandaru Sathyajit S, Pradeep Raj Jeffrey
Department of Internal Medicine, Memorial Hospital of Martinsville and Henry County, VA, USA.
Texas Tech University Health Sciences Center, El Paso, TX, USA.
Gastroenterology Res. 2017 Dec;10(6):376-379. doi: 10.14740/gr884w. Epub 2018 Jan 3.
A collection of dead white blood cells within the liver is called a liver abscess, and pyogenic liver abscess (PLA) is the most common type. PLA is commonly associated with biliary tract infections. However, in this case report, we present a rare cause of bacteremia and PLA which is associated with a carcinoma of the colon at the splenic flexure. The presentation mimicked a cholecystitis clinically, but the radio-imaging revealed a liver abscess. Blood cultures revealed an uncommon etiological agent, group which is otherwise a commensal in the human gut. In this case report, we aimed to summarize the microbiological aspects of group of organisms, the relevant clinicopathological considerations and the management.
肝脏内死亡白细胞的聚集称为肝脓肿，而化脓性肝脓肿（PLA）是最常见的类型。PLA通常与胆道感染有关。然而，在本病例报告中，我们呈现了一种罕见的菌血症和PLA病因，其与脾曲结肠癌有关。临床表现类似胆囊炎，但影像学检查显示为肝脓肿。血培养发现了一种不常见的病原体，该菌群在人体肠道中通常是共生菌。在本病例报告中，我们旨在总结该菌群的微生物学特征、相关临床病理因素及治疗方法。
