Strobel Samuel, Whitaker Daniel, Choi Edwin, Lindow Janelle, Lago Kathryn
Family Medicine Service, Womack Army Medical Center, 2817 Reilly Road, Fort Bragg 28310, NC, USA.
Infectious Disease Service, Womack Army Medical Center, 2817 Reilly Road, Fort Bragg 28310, NC, USA.
Case Rep Infect Dis. 2022 Mar 26;2022:5500365. doi: 10.1155/2022/5500365. eCollection 2022.
and are two pathogens known to cause odontogenic and oropharyngeal infections. It is exceedingly rare for these bacteria to cause coinfection and even systemic infection. There is limited literature on liver abscesses and bacteremia involving . Most cases are found in elderly patients with associated gastrointestinal malignancy (24%) or laryngeal pharynx malignancy (28%). However, a substantial portion of described cases were unable to identify a source (36%). A 36-year-old, otherwise healthy male presented for fevers and chills for 2 weeks. After testing negative for initial infectious workup, including COVID-19 multiple times, he was found to have multiple liver abscesses which grew and . This case highlights a rare coinfection of hepatic abscesses in an otherwise healthy young immunocompetent adult with a solitary dental caries, resulting in septic shock.
[细菌名称1]和[细菌名称2]是已知可引起牙源性和口咽感染的两种病原体。这些细菌引起混合感染甚至全身感染极为罕见。关于[细菌名称1]和[细菌名称2]所致肝脓肿和菌血症的文献有限。大多数病例见于患有相关胃肠道恶性肿瘤（24%）或喉咽部恶性肿瘤（28%）的老年患者。然而，相当一部分已描述病例无法确定感染源（36%）。一名36岁、其他方面健康的男性因发热和寒战两周前来就诊。在包括多次新冠病毒检测在内的初始感染检查结果均为阴性后，发现他患有多个肝脓肿，从中培养出了[细菌名称1]和[细菌名称2]。该病例凸显了一名原本健康的年轻免疫功能正常成年人，因单一龋齿导致罕见的肝脓肿混合感染，并引发感染性休克。
