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以肝脓肿伴头静脉血栓形成表现的罕见具核梭杆菌感染

Unusual Fusobacterium Nucleatum Infection Presenting as a Liver Abscess Associated With Cephalic Vein Thrombosis.

作者信息

Chauhan Shaylika, Gidwani Vipul

机构信息

Internal Medicine, Geisinger Commonwealth School of Medicine, Scranton, USA.

Internal Medicine, Parkview Health, Fort Wayne, USA.

出版信息

Cureus. 2020 Oct 15;12(10):e10971. doi: 10.7759/cureus.10971.

DOI:10.7759/cureus.10971
PMID:33209529
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7667607/
Abstract

Pyogenic liver abscesses are uncommon entities with potentially devastating consequences requiring immediate diagnosis and treatment. Fusobacterium nucleatum is an anaerobic, gram-negative oral commensal that has been seldom reported as a cause of liver abscess, particularly in immunocompetent hosts. We describe a case of an 80-year-old female patient presenting with a fusobacterium liver abscess associated with thrombosis of the left cephalic vein.

摘要

化脓性肝脓肿是一种罕见的疾病，可能会产生严重后果，需要立即诊断和治疗。具核梭杆菌是一种厌氧的革兰氏阴性口腔共生菌，很少被报道为肝脓肿的病因，尤其是在免疫功能正常的宿主中。我们描述了一例80岁女性患者，患有具核梭杆菌性肝脓肿并伴有左头静脉血栓形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866b/7667607/000ba2270639/cureus-0012-00000010971-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866b/7667607/1a7ffca9714e/cureus-0012-00000010971-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866b/7667607/000ba2270639/cureus-0012-00000010971-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866b/7667607/1a7ffca9714e/cureus-0012-00000010971-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/866b/7667607/000ba2270639/cureus-0012-00000010971-i02.jpg

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BMJ Case Rep. 2016 Mar 1;2016:bcr2015210235. doi: 10.1136/bcr-2015-210235.
2
Pyogenic liver abscess caused by Fusobacterium in a 21-year-old immunocompetent male.一名21岁免疫功能正常男性由梭杆菌引起的化脓性肝脓肿。
World J Gastroenterol. 2015 Mar 28;21(12):3731-5. doi: 10.3748/wjg.v21.i12.3731.
3
Hepatic abscess: Diagnosis and management.肝脓肿：诊断与管理
J Visc Surg. 2015 Sep;152(4):231-43. doi: 10.1016/j.jviscsurg.2015.01.013. Epub 2015 Mar 12.
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Fusobacterium nucleatum: a commensal-turned pathogen.具核梭杆菌：一种从共生菌转变而来的病原体。
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Comparative microbial analysis of paired amniotic fluid and cord blood from pregnancies complicated by preterm birth and early-onset neonatal sepsis.比较复杂性早产和早发性新生儿败血症的羊水和脐血配对样本的微生物分析。
PLoS One. 2013;8(2):e56131. doi: 10.1371/journal.pone.0056131. Epub 2013 Feb 20.
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Subgingival biodiversity in subjects with uncontrolled type-2 diabetes and chronic periodontitis.伴 2 型糖尿病和慢性牙周炎患者的龈下生物多样性。
J Periodontal Res. 2013 Feb;48(1):30-6. doi: 10.1111/j.1600-0765.2012.01498.x. Epub 2012 Jul 4.
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Term stillbirth caused by oral Fusobacterium nucleatum.由口腔核梭杆菌引起的晚期死产。
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Clin Microbiol Rev. 2007 Oct;20(4):622-59. doi: 10.1128/CMR.00011-07.