查詢結果分析
來源資料
相關文獻
- Trans-diaphragmatic Actinomycosis from Liver Abscess
- Lung Abscess with Empyema and Liver Abscess--A Rare Complication after a Gynecologic Surgery A Case Report
- Development of Massive Right Empyema after Sudden Rupture of a Liver Abscess due to Klebsiella Pneumoniae: A Case Report
- Non-tuberculous Mycobacteria; Mycobacterium Mageritense Infection with Liver Abscess and Empyema--A Case Report
- Recurrent Spontaneous Bacterial Empyema in Cirrhosis: A Case Report
- Usefulness of Thoracic Ultrasonography in Differential Diagnosis of Empyema and Chylothorax
- Isolation of Eikenella corrodens from Polymicrobial Hepatic Abscess: Report of One Case
- A Vanishing Liver Abscess Complicated with Klebsiella pneumoniae Chest Wall Abscess: A Case Report
- Management of Descending Necrotizing Mediastinitis
- 番石榴線蟲病害之調查與防治
頁籤選單縮合
題 名 | Trans-diaphragmatic Actinomycosis from Liver Abscess=穿越橫膈膜之放射線菌肝膿瘍 |
---|---|
作 者 | 曾彥寒; 柯信國; 曾彥強; 余文光; 葉奕成; 黃建勝; | 書刊名 | 胸腔醫學 |
卷 期 | 28:6 2013.12[民102.12] |
頁 次 | 頁336-341 |
分類號 | 415.464 |
關鍵詞 | 放射線菌; 膿胸; 肝膿瘍; 心包膜積液; Actinomyces; Empyema; Liver abscess; Pericardial effusion; |
語 文 | 英文(English) |
中文摘要 | 放射線菌感染是一種少見及進展緩慢的感染。我們提出一位42歲病患。開始時為肝臟出現結節。進行切片後並未發現惡性細胞。5個月後追蹤發現為肝膿瘍。入院後進行肝膿瘍引流。此時肝膿瘍直接穿過橫膈膜形成肺膿瘍以及心包膜積液。病患因呼吸衰竭使用呼吸器並進入加護病房。肝膿瘍,肺膿瘍和心包膜積液在引流出來後進行細菌培養,結核菌培養,和厭氧菌培養皆呈陰性反應。後來因肺膿瘍狀況未改善進行剝除術,病理報告顯示為放射線菌感染。在改用適當抗生素治療後,病患狀況逐步改善並脫離呼吸器。之後順利出院並接受長期抗生素治療。 |
英文摘要 | Actinomycosis is a rare and slowly progressive infection. We report a 42-year-old female patient whose computed tomography scan showed liver nodules at first. Biopsy revealed no malignant cells. Five months later, follow-up chest-computed tomography still showed hypodense lesions in the liver. She was admitted for further survey. During admission, we arranged ultrasound-guided liver abscess drainage. However, her liver abscess continued to spread continuously, and pleural empyema and pericardial abscess were identified. All culture reports showed negative findings. She also had respiratory failure and received endotracheal intubation and ventilator support. After decortication, the pathology report showed Actinomyces. We changed antibiotics immediately. Her condition gradually improved and extubation was performed successfully. She was discharged with outpatient department follow-up and antibiotics treatment. Trans-diaphragmatic actinomycosis rarely occurs. The initial clinical symptoms and signs are often nonspecific, which led in this case to a delayed diagnosis. It is important to take actinomycosis into consideration in case of liver abscess, pleural empyema, and pericardial abscess. |
本系統中英文摘要資訊取自各篇刊載內容。