- 期刊
Aeromonas Hydrophila Bacteremia Presenting as Epidural Abscess in a Cirrhotic Patient-A Case Report
Aeromonas Hydrophila菌血症合併腰椎硬膜外膿瘍於肝硬化病人－病例報告
摘要
Aeromonas hydrophila是一種低致病性的格蘭氏陰性菌。人類受此菌感染可以有諸多不同表現像傷口感染、急性腸胃炎、敗血症、肺炎、感染性關節炎和心內膜炎。Aeromonas hydrophila很少被報告過和脊椎硬膜上膿瘍有關。我們報告一個50歲肝硬化的病人患有硬膜上膿瘍合併Aeromonas hydrophila菌血症。Aoromonas hydrophila菌血症容易發生於免疫功能不全病患身上。如果肝硬化的病人，血液培養長出Areomonas hydrophila，並且合併有下背痛，則硬膜下膿瘍仍應列入考慮。
並列摘要
Aeromonas hydrophila is a low-virulence gram-negative bacillus. Human infections secondary to Aeromonas hydrophila may present as a variety of diseases, such as wound infection, acute gastroenteritis, septicemia, pneumonia, septic arthritis or endocarditis. It has rarely been reported as a causative organism of epidural abscess. We present a case of epidural abscess due to Aeromonas hydrophila in a 50-year-old man with liver cirrhosis. It has been shown that the Aeromonas bacteremia usually affects immunocompromised subjects, such as those with liver cirrhosis. Epidural abscess should be highly suggested when a cirrhotic patient with Aeromonas bacteremia presents severe low back pain.
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