Barakat Mohamed, Hernandez Steven, Benoit Janeeka, Pourshahid Seyedmohammad, Mamoon Yusufal, Martin George T
Department of Internal Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, Jamaica, NY.
ACG Case Rep J. 2018 Apr 11;5:e30. doi: 10.14309/crj.2018.30. eCollection 2018.
Pyogenic liver abscess (PLA) is the result of portal vein pyemia, which usually originates from the hepatobiliary system or the gastrointestinal tract. Gram-negative organisms are the most common causative pathogens in PLA. is an anaerobic gram-positive, low-virulence organism that most commonly affects neutropenic patients with hematological malignancy and has not been reported to cause PLA. We report an unusual presentation of a infection as a PLA in a previously healthy, immunocompetent patient with no identifiable source of portal pyemia.
化脓性肝脓肿(PLA)是门静脉脓毒症的结果,通常起源于肝胆系统或胃肠道。革兰氏阴性菌是PLA最常见的致病病原体。[具体细菌名称未给出]是一种厌氧革兰氏阳性、低毒力的生物体,最常影响患有血液系统恶性肿瘤的中性粒细胞减少患者,尚未有报道称其可导致PLA。我们报告了一例在一名既往健康、免疫功能正常且无门静脉脓毒症明确来源的患者中,[具体细菌名称未给出]感染表现为PLA的不寻常病例。