Kanzawa Yohei, Ishimaru Naoto, Seto Hiroyuki, Tsutsumi Takahiko, Kinami Saori
Department of General Internal Medicine, Akashi Medical Center, Akashi City, Japan.
Department of General Internal Medicine, Takatsuki General Hospital, Takatsuki City, Japan.
Infez Med. 2018 Sep 1;26(3):266-269.
Citrobacter koseri is a rare cause of liver abscess with two reported cases in diabetic patients. We report a rare case of C. koseri liver abscess with C. koseri bacteremia in an elderly male with chronic kidney disease. He presented vomiting and weakness without any other signs. He was diagnosed with liver abscess by ultrasound, and blood culture showed C. koseri growth. The patient was treated effectively with a course of antibiotics and drainage. When C. koseri is isolated in patients with comorbidity, such as chronic kidney disease, we should consider the possibility of abscess including liver abscess and utilize a combined treatment of drainage and course of antibiotics for mixed infection.
科氏柠檬酸杆菌是肝脓肿的罕见病因，糖尿病患者中有两例相关报道。我们报告了一例罕见的科氏柠檬酸杆菌肝脓肿合并科氏柠檬酸杆菌菌血症病例，患者为一名患有慢性肾脏病的老年男性。他出现呕吐和虚弱症状，无其他体征。经超声检查诊断为肝脓肿，血培养显示有科氏柠檬酸杆菌生长。该患者通过一个疗程的抗生素治疗和引流得到有效治疗。当在患有慢性肾脏病等合并症的患者中分离出科氏柠檬酸杆菌时，我们应考虑包括肝脓肿在内的脓肿形成的可能性，并采用引流和针对混合感染的抗生素疗程联合治疗。
