Soni P N, Hoosen A A, Pillay D G
Gastrointestinal Unit, University of Natal Medical School, Durban, South Africa, U.K.
Dig Dis Sci. 1994 Aug;39(8):1694-6. doi: 10.1007/BF02087778.
Salmonella typhi is a rare cause of liver abscess. We describe a 47-year-old African male with multiple liver abscesses due to S. typhi in an area where hepatic amebiasis is endemic. The patient did not respond appropriately to amebicidal therapy and culture of the liver aspirate on two occasions yielded S. typhi. The Widal test, initially negative, became positive on repeat testing 10 days later. Percutaneous aspiration combined with appropriate antibiotic therapy resulted in a complete recovery. No predisposing cause could be found. We report the clinical, radiological, and microbiological features of this case and review the literature on this rare but easily treatable condition.
伤寒沙门菌是肝脓肿的罕见病因。我们描述了一名47岁的非洲男性，在肝阿米巴病流行地区因伤寒沙门菌导致多发性肝脓肿。该患者对杀阿米巴治疗反应不佳，两次肝穿刺抽吸物培养均检出伤寒沙门菌。肥达试验最初为阴性，10天后复查转为阳性。经皮抽吸联合适当的抗生素治疗使患者完全康复。未发现诱发原因。我们报告了该病例的临床、影像学和微生物学特征，并回顾了关于这种罕见但易于治疗疾病的文献。
