Ibrahim Saira, Nallapaneni Naga Neelima, Muthulingam Dharushana
Internal Medicine, SSM Health St. Mary's Hospital, St. Louis, USA.
Infectious Disease, St. Louis ID PC, St. Louis, USA.
Cureus. 2022 Sep 30;14(9):e29789. doi: 10.7759/cureus.29789. eCollection 2022 Sep.
is notorious for causing abscesses in patients without any previous hepatobiliary disease and is a cause of liver abscesses. We report the case of a 70-year-old man with a past medical history of hypertension and benign prostatic hyperplasia who presented with a cough and fever lasting two weeks. The findings from his physical examination were unremarkable, but his laboratory investigations were significant for elevated inflammatory markers. A computed tomography scan of his abdomen revealed a complex septated cyst in the right lobe of his liver, and his blood culture was positive for . He responded well to drainage and intravenous and oral antibiotics. His abscess resolved fully. Cases of in the United States are rare, and studies are necessary to explore its epidemiology. Atypical symptoms make diagnosis a challenge, and physicians are urged to retain high levels of suspicion to diagnose and treat such cases early.
在没有任何既往肝胆疾病的患者中,它因导致脓肿而声名狼藉,是肝脓肿的一个病因。我们报告一例70岁男性病例,他有高血压和良性前列腺增生的既往病史,出现咳嗽和发热持续两周。体格检查结果无异常,但实验室检查显示炎症标志物升高。腹部计算机断层扫描显示其肝脏右叶有一个复杂的分隔囊肿,血液培养对……呈阳性。他对引流以及静脉和口服抗生素反应良好。他的脓肿完全消退。在美国,……病例很少见,有必要开展研究以探索其流行病学。非典型症状使诊断成为一项挑战,敦促医生保持高度怀疑以早期诊断和治疗此类病例。