A middle-aged lady with a pyogenic liver abscess caused by Clostridium perfringens  

作　　者：Siu-Tong Law Ming Kai Lee 

机构地区：[1]Division of Gastroenterology and Hepatology,Department of Medicine and Geriatrics,Tuen Mun Hospital,Tuen Mun,Hong Kong,China

出　　处：《World Journal of Hepatology》2012年第8期252-255,共4页世界肝病学杂志（英文版）（电子版）

摘　　要：The pyogenic liver abscess caused by Clostridium perfringens (C. perfringens ) is a rare, but rapidly fatal infection. It is usually associated with malignancy and immunosuppression. We report the case of 50-year-old lady with the secondary liver metastases from rectal cancer presented with fever and epigastric pain. The identification of Grampositive bacilli septicaemia, the presence of gas-forming liver abscess and massive intravascular hemolysis should lead to the suspicion of C. perfringens infection. Here we review twenty cases published since 1990 and their clinical features are discussed. The importance of "an aggressive treatment policy" with multidisciplinary team approach is emphasized.The pyogenic liver abscess caused by Clostridium perfringens (C. perfringens) is a rare, but rapidly fatal infection. It is usually associated with malignancy and immunosuppression. We report the case of 50-year-old lady with the secondary liver metastases from rectal cancer presented with fever and epigastric pain. The identification of Gram-positive bacilli septicaemia, the presence of gas-forming liver abscess and massive intravascular hemolysis should lead to the suspicion of C. perfringens infection. Here we review twenty cases published since 1990 and their clinical features are discussed. The importance of ”an aggressive treatment policy” with multidisciplinary team approach is emphasized.

关 键 词：PYOGENIC LIVER ABSCESS Clostridium perfringens Infected hepatic metastases LIVER ABSCESS GRAM-POSITIVE BACILLI SEPTICAEMIA 

分 类 号：R575.4[医药卫生—消化系统]