Matlow A, Vellend H
J Clin Gastroenterol. 1983 Apr;5(2):143-7. doi: 10.1097/00004836-198304000-00010.
We describe four cases of multiple, cryptogenic, and streptococcal liver abscesses which were cured with antibiotic therapy. Two of the patients were referred for medical management as a last resort after open surgical drainage failed to eradicate the suppurative process. The other two patients were treated from the time of diagnosis with antimicrobial agents alone. Blood cultures or needle aspirates of the abscesses yielded a pure growth of streptococci in all instances. All isolates were susceptible to penicillin G. Cryptogenic streptococcal abscesses may represent a subset of multiple hepatic abscesses particularly amenable to successful medical therapy consisting of a minimum of 6 weeks parenteral antibiotic therapy followed by a period of oral antibiotics until clinical, biochemical, and radiological resolution of the abscesses has occurred.
我们描述了4例多发性、隐源性和链球菌性肝脓肿病例，这些病例通过抗生素治疗得以治愈。其中2例患者在开放手术引流未能根除化脓过程后，作为最后手段被转诊接受内科治疗。另外2例患者从诊断时起仅接受抗菌药物治疗。所有病例的血培养或脓肿穿刺抽吸物均培养出纯的链球菌生长。所有分离株对青霉素G敏感。隐源性链球菌性脓肿可能是多发性肝脓肿的一个亚组，特别适合采用成功的内科治疗，即至少6周的肠外抗生素治疗，随后进行一段时间的口服抗生素治疗，直至脓肿在临床、生化和影像学上消退。
