鱼刺致星座链球菌肝脓肿1例报告

李佳佳; 王鹤; 郭继东; 王超; 齐文杰

doi:10.3969/j.issn.1001-5256.2023.03.023

鱼刺致星座链球菌肝脓肿1例报告

DOI: 10.3969/j.issn.1001-5256.2023.03.023

首都医科大学附属北京友谊医院感染内科，北京 100050

基金项目:

首都卫生发展科研专项项目基金 (2020-2-2027)

伦理学声明：本例报告已获得患者及其家属知情同意。

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：李佳佳负责课题设计，资料分析，撰写论文；王鹤、郭继东、王超参与收集数据，修改论文；齐文杰负责拟定写作思路，指导撰写文章并最后定稿。

详细信息

通信作者:
齐文杰，qi.wenjie@ccmu.edu.cn(ORCID: 0000-0002-5716-9670)

计量
- 文章访问数: 524
- HTML全文浏览量: 190
- PDF下载量: 98
- 被引次数: 0
出版历程
- 收稿日期: 2022-06-20
- 录用日期: 2022-08-03
- 出版日期: 2023-03-20

Streptococcus constellatus liver abscess caused by fish bone: A case report

Department of Infectious Diseases, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China

Research funding:

The Capital Health Research and Development of Special (2020-2-2027)

More Information

Corresponding author: QI Wenjie, qi.wenjie@ccmu.edu.cn(ORCID: 0000-0002-5716-9670)

摘要

- 肝脓肿 /
- 星座链球菌 /
- 肠穿孔
- Liver Abscess /
- Streptococcus Constellatus /
- Intestinal Perforation

HTML全文

图 1 胸部CT

注：肝右叶可见一团块状稍低密度影。

Figure 1. Chest CT

下载: 全尺寸图片幻灯片

图 2 腹部CT

注：a，入院后1周复查腹部CT可见肝内低密度灶较前有所吸收，内可见条状高密度影，异物可能；b，入院后1周腹部CT重建可见异物从十二指肠穿至肝内低密度灶处。

Figure 2. Abdominal CT

下载: 全尺寸图片幻灯片

图 3 腹腔镜探查术

注：可见异物穿透十二指肠进入肝内，剥离异物，可见异物为鱼刺。

Figure 3. Laparoscopic surgery

下载: 全尺寸图片幻灯片

参考文献(12)

[1]	The Chinese Society of Emergency Medicine. Expert consensus on diagnosis and treatment of bacterial liver abscess in emergency department[J]. Chin J Emerg Med, 2022, 31(3): 273-280. DOI: 10.3760/cma.j.issn.1671-0282.2022.03.003. 中华医学会急诊医学分会. 细菌性肝脓肿诊治急诊专家共识[J]. 中华急诊医学杂志, 2022, 31(3): 273-280. DOI: 10.3760/cma.j.issn.1671-0282.2022.03.003.
[2]	LUO M, YANG XX, TAN B, et al. Distribution of common pathogens in patients with pyogenic liver abscess in China: a meta-analysis[J]. Eur J Clin Microbiol Infect Dis, 2016, 35(10): 1557-1565. DOI: 10.1007/s10096-016-2712-y.
[3]	TIAN LT, YAO K, ZHANG XY, et al. Liver abscesses in adult patients with and without diabetes mellitus: an analysis of the clinical characteristics, features of the causative pathogens, outcomes and predictors of fatality: a report based on a large population, retrospective study in China[J]. Clin Microbiol Infect, 2012, 18(9): E314-E330. DOI: 10.1111/j.1469-0691.2012.03912.x.
[4]	WANG Y, LI WK, SU JY, et al. Clinical characteristics of pyogenic liver abscesses and risk factors for admission to intensive care unit[J]. J Clin Exp Med, 2022, 21(20): 2233-2238. DOI: 10.3969/j.issn.1671-4695.2022.20.029. 王芸, 李文坤, 苏珈仪, 等. 细菌性肝脓肿临床特征及其入住重症监护室危险因素分析[J]. 临床和实验医学杂志, 2022, 21(20): 2233-2238. DOI: 10. 3969/j.issn.1671-4695.2022.20.029.
[5]	DING R, XIE W, LIU LG, et al. Clinical features of Klebsiella pneumoniae liver abscess and influencing factors for prognosis[J]. J Clin Hepatol, 2022, 38(7): 1584-1589. DOI: 10.3969/j.issn.1001-5256.2022.07.023. 丁蕊, 谢雯, 刘丽改, 等. 肺炎克雷伯菌肝脓肿的临床特征及预后影响因素分析[J]. 临床肝胆病杂志, 2022, 38(7): 1584-1589. DOI: 10.3969/j.issn.1001-5256.2022.07.023.
[6]	BEECHER SM, O'LEARY DP, MCLAUGHLIN R. Diagnostic dilemmas due to fish bone ingestion: Case report & literature review[J]. Int J Surg Case Rep, 2015, 13: 112-115. DOI: 10.1016/j.ijscr.2015.06.034.
[7]	CHEN J, WANG C, ZHUO J, et al. Laparoscopic management of enterohepatic migrated fish bone mimicking liver neoplasm: A case report and literature review[J]. Medicine (Baltimore), 2019, 98(11): e14705. DOI: 10.1097/MD.0000000000014705.
[8]	DANGOISSE C, LATERRE PF. Tracking the foreign body, a rare cause of hepatic abscess[J]. BMC Gastroenterol, 2014, 14: 167. DOI: 10.1186/1471-230X-14-167.
[9]	SAITUA F, ACOSTA S, SOTO G, et al. To remove or not remove. . . asymptomatic sewing needle within hepatic right lobe in an infant[J]. Pediatr Emerg Care, 2009, 25(7): 463-464. DOI: 10.1097/PEC.0b013e3181ab7940.
[10]	WU C, HUNGNESS ES. Laparoscopic removal of a pancreatic foreign body[J]. JSLS, 2006, 10(4): 541-543.
[11]	BYARD RW, GILBERT JD. Hepatic abscess formation and unexpected death: a delayed complication of occult intraabdominal foreign body[J]. Am J Forensic Med Pathol, 2001, 22(1): 88-91. DOI: 10.1097/00000433-200103000-00018.
[12]	GHARIB SD, BERGER DL, CHOY G, et al. Case 21-2015. A 37-year-old american man living in vietnam, with fever and bacteremia[J]. N Engl J Med, 2015, 373(2): 174-183. DOI: 10.1056/NEJMcpc1411439.