首页|以腹泻为首发表现的C群沙门菌侵袭性肝脓肿1例及文献复习

以腹泻为首发表现的C群沙门菌侵袭性肝脓肿1例及文献复习

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目的 探讨C群沙门菌侵袭性肝脓肿的临床特点与诊断、治疗要点.方法 回顾性分析1 例以腹泻为首发表现的C群沙门菌侵袭性肝脓肿患者的临床资料,并对相关文献进行复习.结果 本例患者,男,52 岁,急性起病无明确诱因出现腹泻,伴发热.便培养、引流液培养、血培养均为C群沙门菌.确诊为侵袭性肝脓肿.经皮肝穿引流后联合美罗培南抗感染治疗后体温恢复正常,炎症指标较前明显下降.结论 侵袭性C群沙门菌肝脓肿临床较为少见,因以腹泻为首发表现容易误诊、延误治疗时机,规范治疗后可获得良好效果.
A Case of Salmonella Group C Invasive Liver Abscess with Diarrhea as the Initial Manifestation and Literature Review
OBJECTIVE To explore the clinical characteristics,diagnosis,and treatment of invasive liver ab-scess caused by Salmonella group C.METHODS A retrospective analysis was conducted on the clinical data of a patient with Salmonella C invasive liver abscess with diarrhea as the initial manifestation,and relevant literature was reviewed.RESULTS A 52-year-old man,had acute onset without clear cause of diarrhea and accompanied by fe-ver.The stool,drainage fluid,and blood culture were all Salmonella group C.confirmed as invasive liver ab-scess.After percutaneous transhepatic drainage combined with meropenem anti infection treatment,the body tempera-ture returned to normal,and the inflammatory indicators decreased significantly.CONCLUSION Invasive Salmo-nella C liver abscess is relatively rare in clinical practice,with diarrhea as the initial manifestation is prone to misdi-agnosis and delayed treatment.Standardized treatment can achieve good results.

Salmonella group CLiver abscessAnti-infection treatment

胡爱玲、于小杰、王晓俊、杜雅丽、王娜

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秦皇岛市第一医院药学部,河北秦皇岛 066000

秦皇岛市工人医院药学部,河北秦皇岛 066000

C群沙门菌 肝脓肿 抗感染治疗

2024

海峡药学
中国药学会福建分会

海峡药学

影响因子:0.643
ISSN:1006-3765
年,卷(期):2024.36(5)