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題名 | Comparison of Pyogenic Liver Abscess Caused by non-Klebsiella pneumoniae and Klebsiella pneumoniae=非克雷白氏肺炎桿菌與克雷白氏肺炎桿菌引起的化膿性肝膿瘍之比較 |
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作者 | 楊清鎮; 顏啟華; 何茂旺; 王任賢; | 書刊名 | 微免與感染雜誌 |
卷期 | 37:3 2004.06[民93.06] |
頁次 | 頁176-184 |
分類號 | 415.15 |
關鍵詞 | 非克雷白氏肺炎桿菌; 克雷白氏肺炎桿菌; 化膿性肝膿瘍; Klebsiella pneumoniae; Liver abscesses; Mortality; Prognosis; Taiwan; |
語文 | 英文(English) |
英文摘要 | From January 1996 to April 2002, a total of 248 patients with pyogenic liver abscess were enrolled in this study. Abscesses caused by Klebsiella pneumoniae accounted for 69% (171) of cases. Abscesses caused by K. Pneumoniae were more strongly associated with diabetes mellitus or impaired fasting glucose than liver abscesses caused by non-K. pneumoniae (70.2% vs 32.5%). Solitary abscess and monomicrobial isolates were more frequent in the K. pneumoniae group than that in the non-K. pneumoniae group. A total of 42 patients were treated with antibiotics alone. Antibiotics treatment was combined with other procedures, including single aspiration in 23 patients, percutaneous drainage in 176 and surgical drainage in 7. A higher incidence of metastatic infections occurred in the K. pneumoniae group than in the non-K. pneumoniae group (14.6% vs 3.8%). By contrast, the mortality rate of the K. pneumoniae group was lower than that of non-K. pneumoniae group (4.1% vs 20.8%). There was no significant difference in the relapse rate between these 2 groups (6.5% vs 6.4%). We also found that the presence of respiratory symptoms (including cough, dyspnea, or chest distress), size of abscess ?5 cm in diameter and non-K. pneumoniae pathogens were significant prognostic factors for mortality. |
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