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表现为慢性咳嗽的化脓性肝脓肿

pyogenic liver abscess presenting as chronic cough.

作者信息

Surani Asif, Slama Eliza M, Thomas Samantha, Ross Robert W, Cunningham Steven C

机构信息

Department of Medicine, Froedtert & The Medical College of Wisconsin, 8701 W Watertown Plank Rd, Wauwatosa, WI 53226, United States.

Department of Surgery, Saint Agnes Hospital, 900 S Caton Ave, Baltimore, MD 21229, United States.

出版信息

IDCases. 2020 Feb 28;20:e00736. doi: 10.1016/j.idcr.2020.e00736. eCollection 2020.

Abstract

is a Gram-negative rod belonging to the family and closely related to spp. It is commonly present in aquatic environments. Human infections caused by are being increasingly recognized. It has been documented to cause various hospital-acquired infections including but not limited to gastrointestinal, skin, and genitourinary infections. The organism has been particularly associated with invasive procedures and is commonly seen in patients with malignancy, diabetes, chronic kidney disease and immunodeficiency. To our knowledge, we report the first case of pyogenic liver abscess caused by this organism. The patient presented subtly with a chronic, nonresolving cough and was managed successfully by surgical drainage and appropriate antimicrobials.

摘要

是一种革兰氏阴性杆菌,属于 科,与 属密切相关。它通常存在于水生环境中。由 引起的人类感染越来越受到认可。已有文献记载它可引起各种医院获得性感染,包括但不限于胃肠道、皮肤和泌尿生殖道感染。该病原体尤其与侵入性操作有关,常见于恶性肿瘤、糖尿病、慢性肾病和免疫缺陷患者中。据我们所知,我们报告了首例由该病原体引起的化脓性肝脓肿病例。该患者以慢性、不愈的咳嗽为轻微表现,通过手术引流和适当的抗菌药物治疗成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bac7/7082512/df60e7ae0245/gr1.jpg

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