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米勒链球菌引起的“原发性”膈下脓肿是否是未被识别的胃肠道穿孔所致?

Is "primary" subphrenic abscess caused by Streptococcus milleri a result of unrecognized gastrointestinal perforation?

作者信息

Admon D, Gottehrer N, Leitersdorf E

出版信息

Klin Wochenschr. 1986 Mar 17;64(6):287-9. doi: 10.1007/BF01711940.

DOI:10.1007/BF01711940
PMID:3520131
Abstract

An unusual case of subphrenic abscess presenting as empyema of the pleural cavity is described. The abscess developed secondarily to an occult perforation of the gastrointestinal tract, which was, diagnosed indirectly by the discovery of a fishbone within the abscess. Isolation of Streptococcus milleri from the pus was an important clue for the existence of an underlying gastrointestinal pathology.

摘要

本文描述了一例罕见的膈下脓肿表现为胸腔积脓的病例。该脓肿继发于胃肠道隐匿性穿孔,通过在脓肿内发现一根鱼刺间接诊断出穿孔。从脓液中分离出米勒链球菌是存在潜在胃肠道病变的重要线索。

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本文引用的文献

1
Diagnosis of abdominal abscesses with computed tomography, ultrasound, and 111In leukocyte scans.利用计算机断层扫描、超声和铟-111白细胞扫描诊断腹部脓肿。
Radiology. 1980 Nov;137(2):425-32. doi: 10.1148/radiology.137.2.7433676.
2
Determinants of death in patients with intraabdominal abscess.腹腔脓肿患者死亡的决定因素。
Surgery. 1980 Oct;88(4):517-23.
3
Percutaneous catheter drainage of abdominal abscesses: a five-year experience.经皮导管引流治疗腹部脓肿:五年经验
N Engl J Med. 1981 Sep 17;305(12):653-7. doi: 10.1056/NEJM198109173051201.
4
Infections due to Lancefield group F and related Streptococci (S. milleri, S. anginosus).由兰斯菲尔德F组及相关链球菌(米勒链球菌、咽峡炎链球菌)引起的感染。
Medicine (Baltimore). 1981 May;60(3):197-207. doi: 10.1097/00005792-198105000-00003.
5
Role of surgical and percutaneous drainage in the treatment of abdominal abscesses.手术引流和经皮引流在腹部脓肿治疗中的作用。
Arch Surg. 1983 Mar;118(3):273-80. doi: 10.1001/archsurg.1983.01390030005001.
6
Microbiology of pyogenic liver abscess.化脓性肝脓肿的微生物学
Br Med J (Clin Res Ed). 1981 Sep 26;283(6295):819-21. doi: 10.1136/bmj.283.6295.819.
7
Eclectic drainage of subphrenic abscesses.膈下脓肿的综合引流术
Arch Surg. 1984 Aug;119(8):942-5. doi: 10.1001/archsurg.1984.01390200060014.
8
Streptococcus milleri causing infection in man.米勒链球菌可导致人类感染。
S Afr Med J. 1983 Apr 30;63(18):684-6.
9
Subphrenic abscess.膈下脓肿
Surg Gynecol Obstet. 1974 Jun;138(6):841-6.
10
Subphrenic abscess.膈下脓肿
Curr Probl Surg. 1972 Jan:1-51.