The First Known Case of Liver Abscess Caused by Aggregatibacter aphrophilus in Japan

被引：5
|
作者：
Okumura, Taiki [1 ]
Soya, Keisuke [2 ]
Hihara, Yu [1 ]
Muraoka, Shinji [3 ]
Nishimura, Yoshihiro [3 ]
Inoue, Katsuaki [1 ]
Maruyama, Atsushi [1 ]
Matsumoto, Go [4 ]
机构：
[1] Ina Cent Hosp, Dept Gastroenterol, Ina, Saitama, Japan
[2] Ina Cent Hosp, Dept Lab Med, Ina, Saitama, Japan
[3] Ina Cent Hosp, Dept Internal Med, Ina, Saitama, Japan
[4] Shinshu Univ Hosp, Dept Lab Med, Matsumoto, Nagano, Japan
来源：
INTERNAL MEDICINE | 2020年 / 59卷 / 11期
关键词：
Aggregatibacter aphrophilus; liver abscess; mass spectrometry; HAEMOPHILUS-PARAPHROPHILUS; IDENTIFICATION;
D O I：
10.2169/internalmedicine.4220-19
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 48-year-old man presented with a sustained fever. Abdominal computed tomography revealed multilocular liver abscesses. He underwent percutaneous needle aspiration, yielding straw-colored pus. Gram staining revealed Gram-negative coccobacilli. The organism grew only on chocolate II agar in a 7% carbon dioxide atmosphere. Identification of Aggregatibacter aphrophilus was confirmed using mass spectrometry and 16S rRNA gene sequencing. He was successfully treated with antibiotics. Liver abscess caused by A. aphrophilus is extremely rare. We herein report the first such case in Japan. Even fastidious organisms, such as A. aphrophilus, should be correctly identified using mass spectrometry or 16S rRNA gene sequencing for adequate treatment.
引用
收藏
页码：1451 / 1455
页数：5
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