細菌性肝膿瘍
WordNet
- pursue a positive and satisfying existence; "You must accept yourself and others if you really want to live"
- actually being performed at the time of hearing or viewing; "a live television program"; "brought to you live from Lincoln Center"; "live entertainment involves performers actually in the physical presence of a live audience" (同)unrecorded
- abounding with life and energy; "the club members are a really live bunch"
- charged with an explosive; "live ammunition"; "a live bomb"
- exerting force or containing energy; "live coals"; "tossed a live cigarette out the window"; "got a shock from a live wire"; "live ore is unmined ore"; "a live bomb"; "a live ball is one in play"
- highly reverberant; "a live concert hall"
- in current use or ready for use; "live copy is ready to be set in type or already set but not yet proofread"
- lead a certain kind of life; live in a certain style; "we had to live frugally after the war"
- not recorded; "the opera was broadcast live"
- of current relevance; "a live issue"; "still a live option"
- a person who has a special life style; "a high liver"
- large and complicated reddish-brown glandular organ located in the upper right portion of the abdominal cavity; secretes bile and functions in metabolism of protein and carbohydrate and fat; synthesizes substances involved in the clotting of the blood; sy
- liver of an animal used as meat
- someone who lives in a place; "a liver in cities"
- (microbiology) single-celled or noncellular spherical or spiral or rod-shaped organisms lacking chlorophyll that reproduce by fission; important as pathogens and for biochemical properties; taxonomy is difficult; often considered to be plants (同)bacterium
- relating to or caused by bacteria; "bacterial infection"
- symptom consisting of a localized collection of pus surrounded by inflamed tissue
PrepTutorEJDIC
- 『生きている』,生命がある / 《副詞[句]を伴って》〈人などが〉『生き続ける』 / 〈物事が〉長く続く,存続する / 《場所を表す副詞[句]を伴って》〈人などが〉『住む』,居住する / 《副詞[句]を伴って》『生活する』,暮らす / 生人を楽しむ,おもしろく桟らす / 《a+形容詞癌lifeを目的語にして》〈…を生活〉‘を'する / 〈思想など〉‘を'実銭する
- 《名詞の前にのみ用いて》『生きている』 / 『活気のある』 / (問題などが)当面の / 燃えている / (弾丸などが)まだ爆発してない,未発の / まだ動いている(働いている),有効な / 電流が通じている / (放走が)生の,実況の
- (ある態度で)生活する人;居住者
- 〈C〉『肝臓』 / 〈U〉(食用にする)動物の肝臓,レバー
- 『バクテリア』,細菌
- バクテリアの,細菌の
- 膿瘍(のうよう)(うんだできもの)
UpToDate Contents
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English Journal
- Infective spondylodiscitis in patients on maintenance hemodialysis: a case series.
- Lu YA1, Hsu HH1, Kao HK2, Lee CH3, Lee SY1, Chen GH1, Hung CC1, Tian YC1.
- Renal failure.Ren Fail.2017 Nov;39(1):179-186. doi: 10.1080/0886022X.2016.1256313. Epub 2016 Nov 16.
- PMID 27846776
- First case report of non-human primates (Alouatta clamitans) with the hypervirulent Klebsiella pneumoniae serotype K1 strain ST 23: A possible emerging wildlife pathogen.
- Anzai EK1, Souza Júnior JC1, Peruchi AR2, Fonseca JM3, Gumpl EK3, Pignatari ACC3, Hirano ZMB2, Silveira ACO4.
- Journal of medical primatology.J Med Primatol.2017 Aug 15. doi: 10.1111/jmp.12296. [Epub ahead of print]
- PMID 28809435
- Bacterial flora of liver abscesses in crossbred beef cattle and Holstein steers fed finishing diets with or without tylosin.
- Amachawadi RG, Purvis TJ, Lubbers BV, Homm JW, Maxwell CL, Nagaraja TG.
- Journal of animal science.J Anim Sci.2017 Aug;95(8):3425-3434. doi: 10.2527/jas.2016.1198.
- Holstein steers raised for beef production consistently have a higher prevalence and more severe form of liver abscesses than cattle of beef breeds. A study was conducted to compare bacterial flora of liver abscesses collected from multiple abattoirs from 4 groups of cattle, arranged in a 2 × 2 fac
- PMID 28805921
Japanese Journal
- 口腔内感染に起因すると考えられたFusobacterium肝膿瘍の2例
- 千住 猛士,増本 陽秀,森田 祐輔 [他],矢田 雅佳,本村 健太,小柳 年正
- 肝臓 54(5), 347-353, 2013
- 症例1は74歳男性．発熱を主訴として近医を受診し抗生剤投与を受けたが改善せず，当科受診時のCTで肝内に径2 cmの腫瘤を2カ所認めた．症例2は79歳男性．腹痛，発熱を主訴として当院を受診し，CTで肝内に径6 cmの腫瘤を認めた．両症例とも経皮経肝ドレナージにて肝膿瘍と診断し，膿の細菌培養でFusobacteriumが検出された．歯科精査にて高度の齲歯と歯周炎を認め，口腔内病巣からのFusobact …
- NAID 130003368687
- 奥野 充,足立 政治,中村 憲昭,山内 治,齋藤 公志郎,廣瀬 善信,井深 貴士,安田 一朗,森脇 久隆
- Nippon Shokakibyo Gakkai Zasshi 110(5), 869-874, 2013
- 77歳男性．発熱にて受診．腹部造影CTで胃内隆起性病変および肝に多房性腫瘤を認め，諸検査で膿瘍を疑った．上部消化管内視鏡検査で潰瘍をともなう胃癌を認めた．抗菌薬投与後，胃亜全摘術を施行し，術後肝腫瘤は消失した．胃癌表面には細菌巣が散見されることから経門脈的感染が疑われた．肝膿瘍を診断・治療する際には，可能なかぎり消化管精査を施行するべきと思われた．
- NAID 130003364378
- 高橋 百合美,影山 富士人,竹平 安則 [他],山田 正美,室久 剛,片岡 英樹,佐野 宗孝,岩岡 泰志,池谷 真苗,寺井 智宏,則武 秀尚,渡辺 晋也,小林 良正
- 肝臓 = ACTA HEPATOLOGICA JAPONICA 49(3), 101-107, 2008-03-25
- 当院において過去10年間に経験した肝膿瘍51例の原因及び臨床経過について検討した．細菌性肝膿瘍（43例）ではアメーバ性（6例）と比較し，高齢で膿瘍径は小さく，その感染経路では乳頭形成術後の症例が34%にみられた．またKlebsiella p.の占める割合が増加していた．アメーバ性は全例男性で細菌性と比較し，腹痛及び下痢の占める割合が有意に高く，消化管穿破例が2例みられた．アメーバ原虫検出例は1例（ …
- NAID 10021275649
Related Links
- Bacterial abscess of the liver is relatively rare. It has been described since the time of Hippocrates (400 BC), with the first published review by Bright appearing in 1936. In 1938, Ochsner's classic review heralded surgical drainage as the definitive therapy; however, despite the more ...
- Background Bacterial abscess of the liver is relatively rare. It has been described since the time of Hippocrates (400 BC), with the first published review by Bright appearing in 1936. In 1938, Ochsner's classic review heralded surgical ...
★リンクテーブル★
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- 英
- pyogenic liver abscess, bacterial hepatic abscess, bacterial liver abscess
- 関
- 肝膿瘍
[show details]
疫学
感染経路
- 特発性
- 浸潤性・外傷性
- 血行性(経門脈性)
- 胆道性：結石、胆管炎、胆汁うっ滞
- 医原性：肝動脈塞栓術後、局所焼灼治療後
特徴
- 経胆道性：多発性
- 経門脈性や外傷性、特発性：単発性(右葉に好発)
- ウイルス性肝膿瘍に比べて多発性が多い
病原体
- グラム陰性桿菌(Escherichia coli)が最多
症状
検査
- 血算：白血球増多
- 血液生化学：CRP上昇
- 肝機能：障害は軽微
- 腹部超音波検査：低エコーの腫瘤
- 腹部単純CT：低吸収の腫瘤
治療
参考
- 1. [charged] Pyogenic liver abscess - uptodate [1]
[★]
- 関
- bacteria、bacterially、bacterio、bacterium
[★]
- [liv]
- [laiv]
- 同
- LAIV
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肝臓