エコーガイド下穿刺が有効であった乳児多発性肝膿瘍の1例

概要

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A 39-day-old female with multiple pyogenic liver abscess was treated effectively by US guided aspiration and antimicrobial chemotherapy. She had no history of umbilical vein catheterization and/or inflammation. About one week after birth, an abscess was found at her anterior chest wall. We considered that this subcutaneous abscess lead to general bacteremia and liver abscess in this case. CT and Ultrasonography showed three abscess in the liver. Aspiration of all abscess was performed under US guided. Staphylococcal aureus was grown in cultures of the pus. Aspiration of the pus and appropriate antimicrobial chemotherapy, cured liver abscess within one month. Drainage of multiple liver abscess is difficult and mortality rate of multiple liver abscess is higher than that of solitary one. Many authors have reported US guided drainage of the liver abscess, but all the reported cases were adult patients. Multiple liver abscess in infants is very serious disease, but US guided aspiration of abscess seems to be effective even in infants.
日本小児外科学会の論文
1985-06-20