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[咽峡炎链球菌(米勒链球菌)败血症中的实质性脓肿。关于4例病例的系统性检查价值]

[Parenchymatous abscess in Streptococcus anginosus (Streptococcus milleri) septicemia. Value of their systematic search, apropos of 4 cases].

作者信息

Colnot F, Alexandre J L, Arnaudo J P, Barbier C, Becker S, Hesse J Y, Jeanmaire H

机构信息

Département de médecine interne, centre hospitalier Jean-Monnet, Epinal, France.

出版信息

Rev Med Interne. 1994;15(11):715-9. doi: 10.1016/s0248-8663(05)81396-7.

Abstract

Streptococcus anginosus, the term suggested to cover a set of streptococci previously known under various names (milleri, MG, anginosus, intermedius, constellatus), is characterized by a propensity to create parenchymatous abscesses, essentially cerebral or hepatic, particularly within the terms of septicemia. These abscesses are sometimes difficult to detect due to a difficult or non-existent symptomatology. The authors report on four cases illustrating the necessity to search for them systematically by cerebral CT scan and abdominal echography or CT scan in all cases of septicemia caused by Streptococcus anginosus.

摘要

咽峡炎链球菌,这个术语旨在涵盖一组以前以各种名称为人所知的链球菌(米勒链球菌、MG、咽峡炎链球菌、中间型链球菌、星座链球菌),其特点是易于形成实质脓肿,主要是脑脓肿或肝脓肿,尤其是在败血症的情况下。由于症状不明显或不存在,这些脓肿有时难以检测到。作者报告了4例病例,说明在所有由咽峡炎链球菌引起的败血症病例中,有必要通过脑部CT扫描以及腹部超声检查或CT扫描来系统地寻找这些脓肿。

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