Subramaniyam Vasanthapriya, Saito Akiko, Tokushige Katsutoshi
Clinical Medicine, Newcastle University of Medicine, Gelang Patah, Malaysia.
Gastroenterology and Hepatology, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-ku, Tokyo, 150-8935, Japan.
J Med Ultrason (2001). 2018 Oct;45(4):623-627. doi: 10.1007/s10396-018-0875-0. Epub 2018 Apr 3.
An oral infection harboring Fusobacterium species can gain entrance to the liver via hematogenous spread in the form of septic embolus, and can thereby cause abscesses. Such spread, described as Lemierre syndrome, is life threatening. We present such a case history of a man in his mid-40s, who presented with infection and Fusobacterium liver abscess with an acute fulminant disease course. The initial diagnosis was arrived at by ultrasound imaging and blood investigations. He was treated with antibiotics, ultrasound-guided liver abscess drainage, and extraction of the infected molar tooth. He was discharged 6 weeks after admission. To date, there have been no reports describing the ultrasound images of a Fusobacterium liver abscess in detail. Hence, we herein present the ultrasound images of a Fusobacterium liver abscess.
携带梭杆菌属细菌的口腔感染可通过脓毒性栓子的形式经血液传播进入肝脏，从而导致脓肿。这种传播被称为勒米尔综合征的传播危及生命。我们报告了一名45岁左右男性的病例，他表现为感染及梭杆菌性肝脓肿，病程呈急性暴发性。最初通过超声成像和血液检查做出诊断。他接受了抗生素治疗、超声引导下肝脓肿引流以及拔除感染的磨牙。入院6周后出院。迄今为止，尚无详细描述梭杆菌性肝脓肿超声图像的报告。因此，我们在此展示梭杆菌性肝脓肿的超声图像。
