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一例免疫功能正常患者由[未提及具体病因]引起肝脓肿的病例报告及文献复习。 (原文中“caused by ”部分缺失具体内容)

A case report of liver abscesses caused by in immunocompetent patient and review of the literature.

作者信息

Zhang Xiaoqiang, Ye Xufang, Bo Dehua, Huang Xiaojing, Qu Tingting

机构信息

Department of Infectious Disease, First People's Hospital of Linping District, Hangzhou, China.

Department of Laboratory Medicine, First People's Hospital of Linping District, Hangzhou, China.

出版信息

Heliyon. 2023 Jul 21;9(8):e18535. doi: 10.1016/j.heliyon.2023.e18535. eCollection 2023 Aug.

Abstract

BACKGROUND

is an anaerobic Gram-negative bacterium that can lead to opportunistic infections, including Lemierre's syndrome and less common presentations of metastatic diseases. However, liver abscesses infected by in clinical settings are rarely reported, particularly in people with normal immune function.

CASE PRESENTATION

A 35-year-old Chinese man was admitted with hyperthermia and abdominal pain that had persisted for three days. The patient continued to have a fever with a maximum temperature of 39.8 °C during hospitalization. Computed Tomography revealed multiple low-density lesions in the liver, which were diagnosed as liver abscesses caused by infection through blood culture and anaerobic liver abscess fluid culture. After simple local percutaneous abscess drainage and effective anti-infective therapy, the patient achieved complete remission.

CONCLUSIONS

Results of our literature search query revealed rare reports of liver abscesses infected by . We recommend that infection be considered in diagnosis special situations of liver abscess.

摘要

背景

是一种厌氧革兰氏阴性菌,可导致机会性感染,包括勒米尔氏综合征和转移性疾病的少见表现。然而,临床环境中由感染引起的肝脓肿鲜有报道,尤其是在免疫功能正常的人群中。

病例报告

一名35岁中国男性因持续三天的高热和腹痛入院。住院期间患者持续发热,最高体温达39.8°C。计算机断层扫描显示肝脏有多个低密度病变,通过血培养和厌氧肝脓肿液培养诊断为由感染引起的肝脓肿。经过单纯局部经皮脓肿引流和有效的抗感染治疗,患者完全缓解。

结论

我们的文献检索结果显示,由感染引起的肝脓肿报道罕见。我们建议在肝脓肿的特殊诊断情况下考虑感染。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c83a/10374925/8a207728af2d/gr1.jpg

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