Giorgio A, Tarantino L, De Stefano G
V Divisione, Ospedale D. Cotugno, Napoli, Italy.
Ital J Gastroenterol. 1996 Jan;28(1):31-3.
Three cases of liver abscesses due to Salmonella typhi (2 solitary, 1 with double localization in the right lobe) are described in which specific diagnosis was based on percutaneous echo-guided aspiration of the lesions. Haemocultures and coprocultures were negative, in all cases, and pus-cultures of aspirated material from cavities grew Salmonella typhi; Widal became significantly positive only in one patient 15 days after discharge. Percutaneous needle drainage, combined with chloramphenicol therapy, was successfully performed under echo guidance; only in one case was a second aspiration needed three days after the first one. Fever disappeared within 48-72 hours after drainage of the abscess. No complications or side-effects were observed.
本文描述了3例由伤寒沙门氏菌引起的肝脓肿（2例为单发，1例在右叶有双重定位），其特异性诊断基于对病变进行经皮超声引导下穿刺抽吸。所有病例的血培养和粪便培养均为阴性，而脓肿腔吸出物的脓液培养长出伤寒沙门氏菌；仅1例患者出院15天后肥达试验显著阳性。在超声引导下成功实施了经皮穿刺引流并联合氯霉素治疗；仅1例在首次抽吸后3天需要再次抽吸。脓肿引流后48 - 72小时内发热消退。未观察到并发症或副作用。
