Spiegel R, Miron D, Horovitz Y
Dept. of Pediatrics A, HaEmek Medical Center, Afula.
Harefuah. 1997 Dec 15;133(12):613-5, 663.
2 children with pyogenic liver abscesses were hospitalized during the past 2 years. A 6-year-old boy had high fever and hepatomegaly, and a large liver abscess was found in the right hepatic lobe. Streptococcus milleri was isolated from the pus. Treatment with a combination of prolonged drainage of the abscess and antibiotic therapy was successful. A 4-month-old girl who had prolonged fever was found to have osteomyelitis of 3 thoracic vertebrae and 2 liver abscesses in the right lobe. She was treated successfully with broad spectrum antibiotics. Additional workup revealed that she had chronic granulomatous disease.
在过去两年中,有2名患有化脓性肝脓肿的儿童住院。一名6岁男孩高热且肝肿大,在右肝叶发现一个大的肝脓肿。从脓液中分离出米勒链球菌。脓肿长期引流与抗生素治疗相结合的方法取得了成功。一名4个月大的女童长期发热,被发现患有3个胸椎的骨髓炎和右叶2个肝脓肿。她接受广谱抗生素治疗后康复。进一步检查发现她患有慢性肉芽肿病。