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免疫功能正常青少年中由星座链球菌引起的肝和双侧输卵管卵巢脓肿:一例报告

Liver and Bilateral Tubo-Ovarian Abscesses Caused by Streptococcus constellatus in an Immunocompetent Adolescent: A Case Report.

作者信息

Govea Marien, Konstat-Korzenny Enrique, Laufer Pablo

机构信息

Pediatrics, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.

Pediatrics, Nicklaus Children's Hospital, Miami, USA.

出版信息

Cureus. 2024 Aug 31;16(8):e68319. doi: 10.7759/cureus.68319. eCollection 2024 Aug.

Abstract

Opportunistic infections most often occur in immunocompromised patients, however, they can also occur in immunocompetent patients. While rare, bacterial infections such as those from  () can cause severe pyogenic infections and abscess formations. It is important to understand the risk factors, diagnostic workup, and management of patients with this rare but enduring bacterial infection. Although most of the literature reports the prevalence of in adults, occurrences should not be overlooked in the pediatric population. We present a case of an immunocompetent 19-year-old female who initially presented with refractory fevers and was found to have an intrahepatic abscess and bilateral tubo-ovarian abscesses. Management of this patient included percutaneous drainage of the hepatic abscess and antibiotic treatment for 28 days.

摘要

机会性感染最常发生在免疫功能低下的患者中,然而,它们也可能发生在免疫功能正常的患者中。虽然罕见,但诸如来自()的细菌感染可导致严重的化脓性感染和脓肿形成。了解这种罕见但持续存在的细菌感染患者的危险因素、诊断检查和管理非常重要。尽管大多数文献报道了()在成人中的患病率,但在儿科人群中也不应忽视其发生情况。我们报告一例免疫功能正常的19岁女性病例,该患者最初表现为难治性发热,随后被发现患有肝内脓肿和双侧输卵管卵巢脓肿。该患者的治疗包括经皮肝脓肿引流和28天的抗生素治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e31b/11441841/29a19bd20482/cureus-0016-00000068319-i01.jpg

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