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一例经胸腔积脓引流后痊愈的肝脓肿罕见病例。

A Rare Case of Hepatic Abscess That Resolved after Drainage of Pleural Empyema.

作者信息

Ajibola Oluwafemi Augustine, Aremu Taiwo Opeyemi, Oluwole Oluwatosin Esther, Olayiwola Olawunmi, Khokhar Nida, Apedo Matthew, Cluzet Valerie

机构信息

Department of Medicine, Vassar Brothers Medical Center, Nuvance Health, 45 Reade Place, Poughkeepsie, NY 12601, USA.

Department of Pharmaceutical Care & Health Systems (PCHS), College of Pharmacy, University of Minnesota, 308 Harvard Street SE, Minneapolis, MN 55455, USA.

出版信息

Healthcare (Basel). 2021 Dec 14;9(12):1732. doi: 10.3390/healthcare9121732.

DOI:10.3390/healthcare9121732
PMID:34946458
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8701003/
Abstract

Empyema has rarely been associated with hepatic abscess. In patients with concurrent empyema and hepatic abscess, hepatic abscess drainage is usually required after drainage of the pleura. We present a rare case of a 91-year-old Caucasian man who presented with a 2-week history of productive cough, fever, shortness of breath, and generalized malaise. The patient was found to have concurrent streptococci empyema and hepatic abscess, and, interestingly, the hepatic abscess resolved after the drainage of the empyema and initiation of antibiotics.

摘要

脓胸很少与肝脓肿相关。对于同时患有脓胸和肝脓肿的患者,通常在胸腔引流后需要进行肝脓肿引流。我们报告了一例罕见病例,一名91岁的白种男性,有2周的咳痰、发热、气短和全身不适病史。该患者被发现同时患有链球菌性脓胸和肝脓肿,有趣的是,在脓胸引流并开始使用抗生素后,肝脓肿得以消退。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c5/8701003/4553ce30a557/healthcare-09-01732-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c5/8701003/fa96da70dbcd/healthcare-09-01732-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c5/8701003/ab7fb7d38d4e/healthcare-09-01732-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c5/8701003/3fa522ae5e43/healthcare-09-01732-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c5/8701003/5f66f6c22fa5/healthcare-09-01732-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c5/8701003/fa4f45e966bc/healthcare-09-01732-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c5/8701003/4553ce30a557/healthcare-09-01732-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c5/8701003/fa96da70dbcd/healthcare-09-01732-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c5/8701003/ab7fb7d38d4e/healthcare-09-01732-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c5/8701003/3fa522ae5e43/healthcare-09-01732-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c5/8701003/5f66f6c22fa5/healthcare-09-01732-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c5/8701003/fa4f45e966bc/healthcare-09-01732-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1c5/8701003/4553ce30a557/healthcare-09-01732-g006.jpg

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本文引用的文献

1
A CARE-compliant article: a case report of pleural empyema secondary to Klebsiella pneumoniae liver abscess with a hepatopleural fistula.一篇符合CARE标准的文章:一例肺炎克雷伯菌肝脓肿继发肝胸膜瘘导致胸膜脓胸的病例报告。
Medicine (Baltimore). 2020 Apr;99(16):e19869. doi: 10.1097/MD.0000000000019869.
2
Concurrent fusobacterial pyogenic liver abscess and empyema.合并梭杆菌性化脓性肝脓肿和脓胸
BMJ Case Rep. 2019 Oct 14;12(10):e231994. doi: 10.1136/bcr-2019-231994.
3
Empyema caused by transdiaphragmatic extension of pyogenic liver abscess.
化脓性肝脓肿经膈肌蔓延引起的脓胸。
Clin Case Rep. 2018 Dec 4;7(1):240-241. doi: 10.1002/ccr3.1950. eCollection 2019 Jan.
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Empyema Secondary to Transdiaphragmatic Extension of Pyogenic Liver Abscess.继发于化脓性肝脓肿经膈肌蔓延的脓胸
Am J Med Sci. 2019 Jan;357(1):e3. doi: 10.1016/j.amjms.2018.10.003. Epub 2018 Oct 16.
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Characteristics and management of pyogenic liver abscess: A European experience.化脓性肝脓肿的特征与管理:欧洲经验
Medicine (Baltimore). 2018 May;97(19):e0628. doi: 10.1097/MD.0000000000010628.
6
Liver abscess: contemporary presentation and management in a Western population.肝脓肿:西方人群中的当代表现与管理
N Z Med J. 2018 Feb 23;131(1470):65-70.
7
A rare case of pericarditis and pleural empyema secondary to transdiaphragmatic extension of pyogenic liver abscess.化脓性肝脓肿通过横膈膜延伸导致的心包炎和脓胸一例罕见病例。
BMC Infect Dis. 2018 Jan 15;18(1):40. doi: 10.1186/s12879-018-2953-8.
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Sites of infection associated with Streptococcus anginosus group among children.儿童中与咽峡炎链球菌群相关的感染部位
J Infect Chemother. 2018 Feb;24(2):99-102. doi: 10.1016/j.jiac.2017.09.011. Epub 2017 Oct 17.
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[Pyogenic liver abscess: Changes of Organisms and Consequences for Diagnosis and Therapy].[化脓性肝脓肿:病原菌的变化及其对诊断和治疗的影响]
Dtsch Med Wochenschr. 2017 Jul;142(14):1067-1074. doi: 10.1055/s-0043-100540. Epub 2017 Jul 20.
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The Evolving Nature of Hepatic Abscess: A Review.肝脓肿的演变:综述。
J Clin Transl Hepatol. 2016 Jun 28;4(2):158-68. doi: 10.14218/JCTH.2016.00004. Epub 2016 Jun 15.