关键词: Case report Fusobacterium necrophorum Immunocompetence Literature review Liver abscess

来  源:   DOI:10.1016/j.heliyon.2023.e18535   PDF(Pubmed)

Abstract:
UNASSIGNED: Fusobacterium necrophorum is an anaerobic Gram-negative bacterium that can lead to opportunistic infections, including Lemierre\'s syndrome and less common presentations of metastatic diseases. However, liver abscesses infected by Fusobacterium necrophorum in clinical settings are rarely reported, particularly in people with normal immune function.
UNASSIGNED: A 35-year-old Chinese man was admitted with hyperthermia and abdominal pain that had persisted for three days. The patient continued to have a fever with a maximum temperature of 39.8 °C during hospitalization. Computed Tomography revealed multiple low-density lesions in the liver, which were diagnosed as liver abscesses caused by Fusobacterium necrophorum infection through blood culture and anaerobic liver abscess fluid culture. After simple local percutaneous abscess drainage and effective anti-infective therapy, the patient achieved complete remission.
UNASSIGNED: Results of our literature search query revealed rare reports of liver abscesses infected by Fusobacterium necrophorum. We recommend that Fusobacterium necrophorum infection be considered in diagnosis special situations of liver abscess.
摘要:
坏死梭杆菌是一种厌氧革兰氏阴性细菌,可导致机会性感染,包括Lemierre综合征和较少见的转移性疾病。然而,临床上很少报道由坏死梭菌感染的肝脓肿,特别是免疫功能正常的人。
一名35岁的中国男子因持续三天的高热和腹痛入院。患者在住院期间继续发烧,最高体温为39.8°C。计算机断层扫描显示肝脏有多处低密度病变,通过血培养和厌氧肝脓肿液培养诊断为坏死梭杆菌感染引起的肝脓肿。经过简单的局部经皮脓肿引流和有效的抗感染治疗,患者达到完全缓解。
我们的文献检索查询结果显示罕见的感染坏死梭杆菌的肝脓肿报告。我们建议在诊断肝脓肿的特殊情况时考虑坏死梭杆菌感染。
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