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克雷伯菌,一位在旅行多年后以化脓性肝脓肿形式出现的聪明幸存者。

Klebsiella, a Clever Survivor Presenting As Pyogenic Liver Abscess Years After Travel.

作者信息

Moran Joseph P, Osorio Guadalupe, Holsing Kindra, Afroze Aneesa

机构信息

Internal Medicine, MercyOne Des Moines Medical Center, Des Moines, USA.

Infectious Disease, MercyOne Des Moines Medical Center, Des Moines, USA.

出版信息

Cureus. 2023 May 8;15(5):e38743. doi: 10.7759/cureus.38743. eCollection 2023 May.

Abstract

is a known cause of pyogenic liver abscess and has an increased prevalence in Southeast Asia. We present two cases of individuals with remote travel history to southeast Asia presenting with fevers, chills, and abdominal pain secondary to pyogenic liver abscess. Neither individual had a comorbid medical condition or history of prior hepato-biliary pathology that would predispose them to bacterial translocation and abscess formation. These patients were both successfully treated with percutaneous drainage and antibiotics. We present these cases to add to the growing body of literature surrounding hyper-mucoid strains of  causing a pyogenic liver abscess.

摘要

是化脓性肝脓肿的已知病因,在东南亚地区患病率较高。我们报告了两例有东南亚旅行史的患者,他们因化脓性肝脓肿出现发热、寒战和腹痛。这两名患者均无合并症或既往肝胆疾病史,这些疾病可能使他们易发生细菌移位和脓肿形成。这两名患者均通过经皮引流和抗生素治疗成功治愈。我们报告这些病例是为了补充围绕导致化脓性肝脓肿的高黏液菌株的不断增加的文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8250/10247906/3924d98141fe/cureus-0015-00000038743-i01.jpg

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