Sauter Matthias, Vavricka Stephan R, Locher Pascal, Preiswerk Benjamin, Weishaupt Dominik, Meier Christoph A, Misselwitz Benjamin
Division of Gastroenterology, Department of Internal Medicine and Specialties, Triemli Hospital, Zurich, Switzerland.
Division of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland.
Case Rep Gastroenterol. 2017 Nov 29;11(3):724-728. doi: 10.1159/000481932. eCollection 2017 Sep-Dec.
Infection with (YE) typically presents with mild gastroenteritis without systemic infection. However, systemic YE infection has been described in states of iron overload. We present the case of a patient with sepsis with hepatic abscesses due to YE infection. Workup revealed a past diagnosis of diabetes mellitus and hemochromatosis which had been untreated for the previous 5 years due to patient refusal. This case highlights risk factors for systemic infection with YE. A high degree of suspicion for YE infection is warranted in patients with iron overload, diabetes mellitus, or immunosuppression.
耶氏肺孢子菌（YE）感染通常表现为轻度肠胃炎，无全身感染。然而，在铁过载状态下已有全身性耶氏肺孢子菌感染的报道。我们报告一例因耶氏肺孢子菌感染导致败血症合并肝脓肿的患者。检查发现患者既往诊断为糖尿病和血色素沉着症，因患者拒绝，此前5年未接受治疗。该病例突出了耶氏肺孢子菌全身感染的危险因素。对于铁过载、糖尿病或免疫抑制患者，有必要高度怀疑耶氏肺孢子菌感染。
