Liver Absceses and Septic Shock Due to Chromobacterium Violaceum Infection: Report of a Case

根瘤菌引起之肝膿瘍與敗血性休克：一病例報告

林金龍(Chin-Lung Lin) ； 張俊梁(Junn-Liang Chang) ； 鄭幼文(Yoiu-Wen Cheng)

《臺灣消化醫學雜誌》 26卷4期 (2009/12) Pp. 326-329

https://doi.org/10.6557/GJT.200912_26(4).0009

摘要

根瘤菌爲一伺機性厭氧與格蘭氏陰性菌，生存於赤道與亞熱帶的土壤或是靜止的水中。人類感染到根瘤菌的機會很罕見，但是一旦發生，其死亡率卻是很高。疾病的過程，通常先從局部的表皮傷口，進展到嚴重的敗血症與多發性的內臟膿瘍。因此，若延遲診斷與不適當的治療，它的預後通常是很差的。我們報告一位74歲農夫，以持續性腹痛爲臨床症狀，並且快速地進展到多發性肝膿瘍與敗血性休克。臨床醫師應當將根瘤菌感染放入敗血症的鑑別診斷中，特別是當病人曾經暴露於泥土或是靜止的水中。

關鍵字

肝膿瘍 ； 敗血性休克 ； 根瘤菌

並列摘要

Chromobacterium violaceum is a facultative anaerobic gram-negative rod that inhabits soil or stagnant water in tropical and subtropical regions. C.violaceum infection in humans is rare but usually fatal. The usual clinical course is a local cutaneous infection followed by severe septicemia and multiple visceral abscesses. Consequently, the prognosis is very poor if the diagnosis is delayed and the therapy is ineffective. This report describes the case of a 74-year-old male farmer who presented with persistent abdominal pain and his disease soon progressed to multiple liver abscesses and septic shock. Physicians should consider C.violaceum infection as a differential diagnosis in cases of sepsis, especially in the presence of a history of exposure to soil or stagnant water.

並列關鍵字

liver abscess ； septic shock ； Chromobacterium violaceum