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題 名 | Klebsiella Pneumoniae Liver Abscess in Childhood--A Case Report=孩童肺炎桿菌肝膿腫--一病例報告 |
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作 者 | 劉秋聯; 鍾全生; 劉保寧; 蔡東烜; 黃永豐; 邱寶琴; 謝凱生; | 書刊名 | 慈濟醫學 |
卷 期 | 10:3 1998.09[民87.09] |
頁 次 | 頁247-252 |
分類號 | 417.545 |
關鍵詞 | 肝膿腫; 肺炎桿菌; 孩童; 超音波; Pig-tail引流; Liver abscess; Klebsiella pneumoniae; Childhood; Sonography; Pig-tail drainage; |
語 文 | 英文(English) |
中文摘要 | 孩童化膿性肝膿腫(pyogenic liver abscess)並不常見;特別是原因不明(cryptogenic) 之化膿性肝膿腫。在小孩的族群中,大部份化膿性肝膿腫所分離出來的菌種是金黃色葡萄球 菌(Staphylococcus aureus);而革蘭陰性桿菌(Gram negative bacilli)則相對少見。故孩童之肺炎 桿菌肝膿腫便是一種十分罕見的病症。於此,我們將報告一個十一歲健康的孩童,患化膿性 肝膿腫之病例。病童沒有特異(specific)的臨床主訴和症狀;腹部超音波發現了該肝膿腫。細 菌學檢查發現病童的肝膿腫的抽取液和靜脈血液,均培養出肺炎桿菌(Klebsiella pneumoniae)。該病童成功的在接受接生素(cefazolin 100 mg/kg/day和gentamicin 4 mg/kg/day)、經皮穿肝抽吸和pig-tail引流治療後,將此病症治癒。病童共住院了18天。其 間病童沒有使用外科處置治療,也沒有發生細菌性移行性病灶(septic metastatic lesion)。 |
英文摘要 | A pyogenic liver abscess, especially a cryptogenic one , is rarely seen in children. The most common isolate in liver abscesses in the pediatric population is Staphylococcus aureus while gram negative bacilli are relatively rare. A Klebsiella pneumoniae liver abscess in childhood is unusual. Herein, we report on an eleven-year-old healthy boy who had a pyogenic liver abscess. We found the abscess on abdominal sonographic examination without any specific signs and symptoms. Klebsiella pneumoniae was cultured from the liver abscess and the patient's blood stream. The disease was cured with antibiotics (cefazolin 100 mg/kg/day and gentamicin 4 mg/kg/day), percutaneous transhepatic aspiration and pig-tail drainage without any surgical intervention. No septic metastatic lesions were found during hospitalisation and the patient was discharged to follow-up after 18 days. |
本系統中英文摘要資訊取自各篇刊載內容。