草绿色链球菌脓毒症合并肝脓肿及肝静脉血栓1例报告

冯丽娜; 王尧; 马博; 黄剑洁; 张晓雪; 温晓玉; 牛俊奇; 金清龙

doi:10.3969/j.issn.1001-5256.2021.02.032

草绿色链球菌脓毒症合并肝脓肿及肝静脉血栓1例报告

DOI: 10.3969/j.issn.1001-5256.2021.02.032

1.
吉林大学第一医院肝病科，长春 130021
2.
青岛大学附属青岛市市立医院消化内一科，山东青岛 266011

基金项目:

国家自然科学基金 (81270484);

吉林省财政厅项目 (JLSCZD2019-027)

作者贡献声明：冯丽娜、王尧负责课题设计，资料分析，撰写论文；马博、黄剑洁、张晓雪参与收集数据，修改论文；温晓玉、牛俊奇、金清龙负责拟定写作思路，指导撰写文章并最后定稿。

详细信息

作者简介:
冯丽娜(1994—)，女，主要从事消化内科疾病研究

通信作者:
金清龙，jinql2016@163.com

中图分类号: R575.4
计量
- 文章访问数: 448
- HTML全文浏览量: 213
- PDF下载量: 32
- 被引次数: 0
出版历程
- 收稿日期: 2020-07-18
- 录用日期: 2020-09-08
- 出版日期: 2021-02-20

Viridans streptococci sepsis with liver abscess and hepatic vein thrombosis: A case report

1.
Department of Hepatology, The First Hospital of Jilin University, Changchun 130021, China
2.
Department of Gastroenterology (Division I), Qingdao Municipal Hospital, Qingdao Municipal Hospital, School of Medicine, Qingdao University, Qingdao, Shandong 266011, China

摘要

- 肝脓肿 /
- 草绿色链球菌 /
- 脓毒症 /
- 静脉血栓形成
- Liver Abscess /
- Viridans Streptococci /
- Sepsis /
- Venous Thrombosis

HTML全文

图 1 全腹CT平扫+三期增强

注：a，动脉期，肝右叶异常低密度影，大小约8.4 cm×7.9 cm；b，静脉期，肝右静脉栓子；c，静脉期，下腔静脉栓子。

下载: 全尺寸图片幻灯片

图 2 心脏超声(2月15日)

注：二尖瓣前叶回声增强、增厚，表面不光滑。

下载: 全尺寸图片幻灯片

参考文献(19)

[1]	MARTIN GS, MANNINO DM, EATON S, et al. The epidemiology of sepsis in the United States from 1979 through 2000[J]. N Engl J Med, 2003, 348(16): 1546-1554. DOI: 10.1056/NEJMoa022139
[2]	LIN ZH, MING DS, GUO RY. Distribution and antibiotic resistance of 213 strains of Viridans streptococcus[J]. J Chin Antibiotics, 2017, 42(11): 989-992. (in Chinese) DOI: 10.3969/j.issn.1001-8689.2017.11.011 林志航, 明德松, 郭如意. 213株草绿色链球菌的分布和耐药性分析[J]. 中国抗生素杂志, 2017, 42(11): 989-992. DOI: 10.3969/j.issn.1001-8689.2017.11.011
[3]	ZHANG SZ, YU ZY, REN YX, et al. Acute renal failure caused by Viridans streptococci-associated liver abscess: A case report[J]. J Clin Hepatol, 2019, 35(3): 617-618. (in Chinese) DOI: 10.3969/j.issn.1001-5256.2019.03.035 张树泽, 俞泽元, 任彦先, 等. 草绿色链球菌引起肝脓肿致急性肾衰竭1例报告[J]. 临床肝胆病杂志, 2019, 35(3): 617-618. DOI: 10.3969/j.issn.1001-5256.2019.03.035
[4]	JIANG M, XIE SS, ZHANG PF, et al. A case of diabetes mellitus with bacterial liver abscess and brucellosis[J/CD]. Chin J Exp Clin Infect Dis (Electronic Edition), 2019, 13(1): 85-88. (in Chinese) 姜敏, 谢松松, 张鹏飞, 等. 糖尿病合并细菌性肝脓肿与布鲁菌病一例[J/CD]. 中华实验和临床感染病杂志(电子版), 2019, 13(1): 85-88.
[5]	ZHAO R, JI YX, LI FP, et al. Progress in diagnosis and treatment of bacterial liver abscess[J]. Chin Hepatol, 2020, 25(3): 331-333. (in Chinese) DOI: 10.3969/j.issn.1008-1704.2020.03.033 赵芮, 纪宇欣, 李方平, 等. 细菌性肝脓肿的诊治进展[J]. 肝脏, 2020, 25(3): 331-333. DOI: 10.3969/j.issn.1008-1704.2020.03.033
[6]	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
[7]	TUBLIN ME, DODD GD 3rd, BARON RL. Benign and malignant portal vein thrombosis: Differentiation by CT characteristics[J]. AJR Am J Roentgenol, 1997, 168(3): 719-723. DOI: 10.2214/ajr.168.3.9057522
[8]	SYED MA, KIM TK, JANG HJ. Portal and hepatic vein thrombosis in liver abscess: CT findings[J]. Eur J Radiol, 2007, 61(3): 513-519. DOI: 10.1016/j.ejrad.2006.11.022
[9]	KARADAG O, AKINCI D, AKSOY DY, et al. Acute Budd-Chiari syndrome resulting from a pyogenic liver abscess[J]. Hepatogastroenterology, 2005, 52(65): 1554-1556.
[10]	HANAZAKI K, KAJIKAWA S, NAGAI N, et al. Portal vein thrombosis associated with hilar bile duct carcinoma and liver abscess[J]. Hepatogastroenterology, 2001, 48(37): 79-80.
[11]	GABATA T, KADOYA M, MATSUI O, et al. Dynamic CT of hepatic abscesses: Significance of transient segmental enhancement[J]. AJR Am J Roentgenol, 2001, 176(3): 675-679. DOI: 10.2214/ajr.176.3.1760675
[12]	BALTHAZAR EJ, GOLLAPUDI P. Septic thrombophlebitis of the mesenteric and portal veins: CT imaging[J]. J Comput Assist Tomogr, 2000, 24(5): 755-760. DOI: 10.1097/00004728-200009000-00017
[13]	SHI J, DING Y, ZHOU H, et al. The clinical and ultrasound features of Klebsiella pneumoniae liver abscess in diabetes mellitus patients with different levels of HbA1c[J]. Chongqing Med, 2016, 45(30): 4222-4225. (in Chinese) DOI: 10.3969/j.issn.1671-8348.2016.30.015 施静, 丁炎, 周昊, 等. 糖尿病患者不同HbA1c控制水平的肺炎克雷伯菌肝脓肿临床和超声特征[J]. 重庆医学, 2016, 45(30): 4222-4225. DOI: 10.3969/j.issn.1671-8348.2016.30.015
[14]	HUANG Y, ZHANG WH. Research advances in diagnosis and treatment of bacterial liver abscess[J]. J Clin Hepatol, 2018, 34(3): 641-644. (in Chinese) DOI: 10.3969/j.issn.1001-5256.2018.03.045 黄洋, 张伟辉. 细菌性肝脓肿的诊治进展[J]. 临床肝胆病杂志, 2018, 34(3): 641-644. DOI: 10.3969/j.issn.1001-5256.2018.03.045
[15]	SANFORD JP. The Sanford guide to antimicrobial therapy 2016[M]. 46th ed. Sperryville: Antimicrobial Therapy Inc, 2016: 114-115.
[16]	LUO CQ, LUO F. Progress in diagnosis and treatment of bacterial hepatic abscess[J]. J World Latest Med Inf, 2019, 19(42): 76-77, 79. (in Chinese) 罗传强, 罗放. 细菌性肝脓肿的诊治进展[J]. 世界最新医学信息文摘, 2019, 19(42): 76-77, 79.
[17]	LI JS, SEXTON DJ, MICK N, et al. Proposed modifications to the Duke criteria for the diagnosis of infective endocarditis[J]. Clin Infect Dis, 2000, 30(4): 633-638. DOI: 10.1086/313753
[18]	CAHILL TJ, BADDOUR LM, HABIB G, et al. Challenges in infective endocarditis[J]. J Am Coll Cardiol, 2017, 69(3): 325-344. DOI: 10.1016/j.jacc.2016.10.066
[19]	AN X, ZHANG ZD, MA XC. Comparison between the international and the Japanese guidelines for the management of sepsis and septic shock 2016[J]. Chin Critical Care Med, 2017, 29(4): 289-293. (in Chinese) DOI: 10.3760/cma.j.issn.2095-4352.2017.04.001 安欣, 章志丹, 马晓春. 2016国际脓毒症和感染性休克管理指南与日本脓毒症诊疗指南之异同[J]. 中华危重病急救医学, 2017, 29(4): 289-293. DOI: 10.3760/cma.j.issn.2095-4352.2017.04.001