Allison H F, Immelman E J, Forder A A
S Afr Med J. 1984 Mar 17;65(11):432-5.
In recent years Streptococcus milleri has emerged as an important cause of pyogenic liver abscess. Whether this represents a changing epidemiological pattern or merely reflects the more widespread application of routine anaerobic bacterial culture techniques is unclear. The isolation of Strept. milleri on culture of a blood specimen from a patient presenting with a pyrexial illness should alert the clinician to the possibility of an underlying liver abscess. Although it is isolated anaerobically this organism should not be mistaken for an obligate anaerobe, especially since it is resistant to metronidazole. Two cases of primary pyogenic liver abscess caused by this organism are reported.
近年来，米勒链球菌已成为化脓性肝脓肿的重要病因。这是代表流行病学模式的改变，还是仅仅反映了常规厌氧菌培养技术的更广泛应用，目前尚不清楚。从发热患者的血标本培养物中分离出米勒链球菌，应提醒临床医生注意潜在肝脓肿的可能性。尽管该菌是在厌氧条件下分离出来的，但不应将其误认为专性厌氧菌，尤其是因为它对甲硝唑耐药。本文报告了两例由该菌引起的原发性化脓性肝脓肿病例。
