Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology · 2016
[A case of liver abscess with systemic infection caused by Fusobacterium].
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Matsuoka Naoki, Okai Ken, Takahashi Atsushi, Abe Kazumichi, Kanno Yukiko, Hayashi Manabu, Imaizumi Hiromichi, Watanabe Hiroshi, Ohira Hiromasa
Аннотация
A 43-year-old man was admitted to our hospital because of an abnormal shadow on chest X-ray. Blood testing showed elevated levels of C-reactive protein and white blood cells. Computed tomography revealed multilocular masses of the right hepatic lobe, reticulonodular shadowing on both lungs, left kidney masses, and aortic arch aneurysm. Fusobacterium nucleatum was isolated from the hepatic abscess after percutaneous transhepatic drainage. Because of severe dental caries, he was diagnosed with liver abscess caused by dental infection with F. nucleatum. Administration of cefmetazole and meropenem was not effective; however, he showed remarkable improvement after treatment with metronidazole and continuous drainage.