侵袭性肺炎克雷伯菌肝脓肿综合征1例并文献复习  

Invasive Klebsiella pneumoniae liver abscess syndrome:a case report and literature review

作　　者：梁诚诚 卢家桀[1] 唐光敏[1] LIANG Chengcheng;LU Jiajie;TANG Guangmin(Infectious Disease Center,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,China)

机构地区：[1]四川大学华西医院感染性疾病中心,成都610041

出　　处：《重庆医学》2022年第12期2028-2030,2036,共4页Chongqing medicine

基　　金：四川省科技厅重点研发项目(2017FZ0062)。

摘　　要：分析侵袭性肺炎克雷伯菌肝脓肿综合征(IKLAS)的临床特征,以提高对该疾病的认识。回顾性分析该院收治的1例IKLAS患者的临床资料及诊疗过程,并复习相关文献。该例患者具有肺炎克雷伯菌肝脓肿,以及肺脓肿、左下肢软组织感染等肝外侵袭表现,符合IKLAS临床特征,糖尿病是其感染及转移的危险因素,患者经治疗好转出院。IKLAS好发于糖尿病人群,应积极寻找原发灶并筛查肝外其他转移性感染病灶,早期诊断及治疗至关重要。To analyze the clinical features of invasion Klebsiella pneumoniae liver abscess syndrome(IKLAS)and raise awareness of the disease.The clinical data and diagnosis and treatment process of a patient with IKLAS admitted to this hospital were analyzed retrospectively,and the relevant literatures were reviewed.The patient had Klebsiella pneumoniae liver abscess and extrahepatic manifestations such as lung abscess and left lower extremity soft tissue infection,which accords with the clinical features of IKLAS.Diabetes mellitus was a risk factor for its infection and metastasis.The patient was discharged after treatment.IKLAS usually occurs in people with diabetes,and the primary lesion should be actively searched and other metastatic infection lesions outside the liver should be screened.Early diagnosis and treatment are very important.

关 键 词：肺炎克雷伯菌 肝脓肿 侵袭综合征 病例报告 

分 类 号：R575.4[医药卫生—消化系统]