摩根摩根菌致肝脓肿一例并文献复习  

A case of liver abscess caused by morganella morganii and the literature review

作　　者：艾学军 邓凤英 唐云志 崔青云 何卫平[2] 

机构地区：[1]解放军第535医院感染科,湖南怀化418000 [2]解放军第302医院干部保健中心,北京100039

出　　处：《中华临床医师杂志（电子版）》2015年第17期137-139,共3页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：目的提高对摩根摩根菌导致肝脓肿的临床认识。方法对1例60岁女性摩根摩根菌导致的肝脓肿患者的临床资料进行回顾性分析,并复习相关文献。结果本例患者因发热、寒战、乏力、恶心、呕吐、食欲下降就诊,经影像学检查及穿刺后细菌学检查证实为摩根摩根菌导致的肝脓肿,经头孢哌酮舒巴坦钠联合奥硝唑治疗后病情恢复。结论本文为国内首次报道摩根摩根菌导致肝脓肿,积极进行细菌学检查及药敏试验,对肝脓肿患者治疗尤为重要。ObjectiveTo improve the clinical understanding of liver abscess caused by morganella morganii.Methods Clinical data of a 60-year-old woman with pyogenic liver abscess were retrospectively analyzed, and reviewed the literature.Results The patient was admitted to hospital with complaints of fever, chills, fatigue, nausea, vomiting, loss of appetite, liver abscess was confirmed by magnetic resonance imaging and M. morganii was determined by abscess material bacterial culture, the patient recovered after cefoperazone/sulbactum and ornidazole combined therapy.Conclusion Liver abscess caused by morganella morganii was the first report in our country. It is important to treat liver abscess with accurately bacterial identification and drug susceptibility.

关 键 词：肝脓肿 摩氏摩根菌 

分 类 号：R575.4[医药卫生—消化系统]