Department of Gastroenterology, Dokkyo Medical University School of Medicine, Japan.
Intern Med. 2020 Dec 1;59(23):3023-3026. doi: 10.2169/internalmedicine.5301-20. Epub 2020 Jul 28.
A man in his 60s visited a clinic with chief complaints of a fever and general malaise. Suspecting a liver abscess in the left lobe with infiltration into the subcutaneous fat tissue under the rectus abdominis muscle based on computed tomography findings, we performed fine-needle aspiration. An amoebic liver abscess was diagnosed. Remission was achieved by the oral administration of metronidazole alone without placement of a drainage tube. The results obtained in this case suggest that the first line of treatment should be a non-invasive approach with oral administration alone. Invasive intervention should then be considered depending on subsequent progress.
一位 60 多岁的男性因发热和全身不适就诊。根据 CT 结果，我们怀疑左叶肝脓肿并累及腹直肌下的皮下脂肪组织，行细针抽吸。诊断为阿米巴肝脓肿。单独口服甲硝唑即可缓解。本病例结果提示，一线治疗应首选非侵入性方法，单独口服药物。然后根据后续进展考虑侵入性干预。
