Kim Eun Young, Baek Yang Hyun, Jung Dong Sik, Woo Kwang Sook
Department of Internal Medicine, Dong-A University Hospital, Busan, Korea.
Divisions of Gastroenterology and Hepatology and Infectious Disease, Dong-A University Hospital, Busan, Korea.
Korean J Gastroenterol. 2019 Apr 25;73(4):230-234. doi: 10.4166/kjg.2019.73.4.230.
Anaerobic infections have been reported to be responsible for 3-10% of pyogenic liver abscesses in Korea, and reported anaerobes include , , and . is an anaerobic, Gram-positive, non-spore-forming bacterial species and a constituent of normal flora on skin, vagina, gastrointestinal tract, and oral cavity that can cause opportunistic infections. However, it has only rarely been reported to be a cause of liver abscess; only one such case has been reported in Korea. We experienced a case of concomitant liver and brain abscesses caused by in a non-immunodeficient 65-year-old female patient without diabetes or periodontal disease. infection was confirmed by blood culture using VITEK 2 cards and by bacterial 16s ribosomal RNA gene sequencing. We conclude that we should not overlook anaerobes as a cause of liver abscess.
据报道,在韩国,厌氧感染占化脓性肝脓肿的3%-10%,已报道的厌氧菌包括[具体厌氧菌名称1]、[具体厌氧菌名称2]和[具体厌氧菌名称3]。[厌氧菌名称]是一种厌氧、革兰氏阳性、不形成芽孢的细菌,是皮肤、阴道、胃肠道和口腔正常菌群的组成部分,可引起机会性感染。然而,它很少被报道为肝脓肿的病因;在韩国仅报道过1例此类病例。我们遇到1例由[厌氧菌名称]引起的肝脑脓肿并存的病例,患者为一名65岁、无免疫缺陷、无糖尿病或牙周病的女性。通过使用VITEK 2卡片进行血培养以及细菌16s核糖体RNA基因测序确诊了[厌氧菌名称]感染。我们得出结论,作为肝脓肿的病因,我们不应忽视厌氧菌。