Mallick Bipadabhanjan, Nath Preetam, Praharaj Dibya L, Panigrahi Sarat C, Anand Anil
Gastroenterology, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.
Cureus. 2020 Aug 1;12(8):e9513. doi: 10.7759/cureus.9513.
The spectrum of microorganisms causing splenic abscess is large, and commonly involved organisms include Enterobacteriaceae, gram-positive cocci and anaerobes. Group B Streptococcus (GBS) commonly causes infection in newborns and pregnant women, but there is increasing incidence of GBS causing invasive infection among nonpregnant adults, particularly among diabetics. Common presentations of GBS infection in adults include bacteremia, soft-tissue and skin infection, pneumonia, urinary tract infection, meningitis and endocarditis. We report a case of splenic abscess due to Streptococcus agalactiae infection without endocarditis in a diabetic patient.
引起脾脓肿的微生物种类繁多，常见的病原体包括肠杆菌科细菌、革兰氏阳性球菌和厌氧菌。B族链球菌（GBS）通常引起新生儿和孕妇感染，但在非妊娠成人中，尤其是糖尿病患者中，GBS引起侵袭性感染的发生率正在上升。成人GBS感染的常见表现包括菌血症、软组织和皮肤感染、肺炎、尿路感染、脑膜炎和心内膜炎。我们报告一例糖尿病患者因无乳链球菌感染导致脾脓肿且无感染性心内膜炎的病例。
