Clostridium paraputrificum septicemia and liver abscess.
Clostridium paraputrificum septicemia and liver abscess.
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DOI：
10.4254/wjh.v10.i3.388
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发表时间：
2018-03-27
影响因子：
2.4
通讯作者：
Sheiner PA
中科院分区：
文献类型：
--
作者：
Kwon YK;Cheema FA;Maneckshana BT;Rochon C;Sheiner PA
我们报告的第一例健康的23岁女性谁经历了介入放射学引导栓塞的肝腺瘤，这导致了气体形成肝脓肿和败血症的副腐败梭菌。使用PubMed文献检索对梭菌肝脓肿进行回顾性分析，我们发现了57例梭菌肝脓肿病例。最常见的两种梭菌是C.产气荚膜梭菌和C.败血症（分别为64.9%和17.5%）。C.产气荚膜梭菌的死亡率为67.6%，中位生存期为11 h，而C.产气荚膜杆菌病例发生溶血。全是C。败血症病例在发病时发现有潜在的肝脏恶性肿瘤，死亡率仅为30%。其余病例由各种梭菌属引起，与上述C.产气荚膜梭菌和C.败血症队列。
We report the first case of a healthy 23-year-old female who underwent an interventional radiology-guided embolization of a hepatic adenoma, which resulted in a gas forming hepatic liver abscess and septicemia by Clostridium paraputrificum. A retrospective review of Clostridial liver abscesses was performed using a PubMed literature search, and we found 57 clostridial hepatic abscess cases. The two most commonly reported clostridial species are C. perfringens and C. septicum (64.9% and 17.5% respectively). C. perfringens cases carried a mortality of 67.6% with median survival of 11 h, and 70.2% of the C. perfringens cases experienced hemolysis. All C. septicum cases were found to have underlying liver malignancy at the time of the presentation with a mortality of only 30%. The remaining cases were caused by various Clostridium species, and this cohort’s clinical course was significantly milder when compared to the above C. perfringens and C. septicum cohorts.