化脓性肝脓肿的微生物学
Microbiology of pyogenic liver abscess.
作者信息
Moore-Gillon J C, Eykyn S J, Phillips I
出版信息
Br Med J (Clin Res Ed). 1981 Sep 26;283(6295):819-21. doi: 10.1136/bmj.283.6295.819.
Abstract
Sixteen patients with pyogenic liver abscesses were studied over 10 years to discover the causative organisms of the condition. Pus was subjected to Gram-negative smear or gas-liquid chromatography to detect volatile acids characteristic of anaerobes and then cultured. All isolates were identified by conventional methods and tested for sensitivity to appropriate antimicrobial agents. Bacteria were grown from the liver abscesses in all 16 patients. Streptococcus milleri Lancefield group F was the commonest organism isolated from the pyogenic liver abscesses, being found in 13 patients. If Strep milleri is isolated care should be taken not to mistake it for an anaerobe, and finding the organism in the blood should alert the clinician to the possible presence of a liver abscesses.
摘要
在10年期间对16例化脓性肝脓肿患者进行了研究，以发现该病症的致病微生物。对脓液进行革兰氏阴性涂片或气液色谱分析，以检测厌氧菌特有的挥发性酸，然后进行培养。所有分离株均采用常规方法鉴定，并检测其对适当抗菌药物的敏感性。所有16例患者的肝脓肿中均培养出细菌。米勒链球菌兰斯菲尔德F组是化脓性肝脓肿中最常分离出的微生物，在13例患者中发现。如果分离出米勒链球菌，应注意不要将其误认为厌氧菌，并且在血液中发现该微生物应提醒临床医生可能存在肝脓肿。
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