주산기 모체 감염과 미숙아 간농양 1례
Liver Abscess Associated with Maternal Perinatal Infection in a Premature Infant
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Neonatal liver abscesses are rare, carry a high mortality rate, and are difficult to diagnose. The diagnosis of liver abscesses in the neonate cannot be established from the clinical presentation alone. Risk factors for liver abscesses in neonates are maternal infection, sepsis, umbilical venous catheterization, omphalitis, and necrotizing enterocolitis. In this report, we describe a preterm infant (32 weeks, 1,580 g) who presented with abdominal distension, respiratory difficulties, and a persistent inflammatory response in spite of broad spectrum antibiotic treatment; a large (6×5 cm) solitary pyogenic liver abscess was identified at 9 days of age. It appeared that the liver abscess had originated in the uterus and umbilical venous catheterization facilitated its spread. Percutaneous drainage under abdominal ultrasound guidance was performed and prolonged antibiotics were treated for 5 weeks, effecting a cure.
Abstract
Neonatal liver abscesses are rare, carry a high mortality rate, and are difficult to diagnose. The diagnosis of liver abscesses in the neonate cannot be established from the clinical presentation alone. Risk factors for liver abscesses in neonates are maternal infection, sepsis, umbilical venous catheterization, omphalitis, and necrotizing enterocolitis. In this report, we describe a preterm infant (32 weeks, 1,580 g) who presented with abdominal distension, respiratory difficulties, and a persistent inflammatory response in spite of broad spectrum antibiotic treatment; a large (6×5 cm) solitary pyogenic liver abscess was identified at 9 days of age. It appeared that the liver abscess had originated in the uterus and umbilical venous catheterization facilitated its spread. Percutaneous drainage under abdominal ultrasound guidance was performed and prolonged antibiotics were treated for 5 weeks, effecting a cure.
참고문헌 (12)
- Doerr CA, "Solitary pyogenic liver abscess in neonates : Report of three cases and review of the literature", Pediatr Infect Dis J, 13, pp.64~69 (1994)
- Vade A, "Neonatal hepatic abscess", Comput Med Imaging Graph, 22, pp.357~359 (1998)
- Lam HS, "Mal-positioned umbilical venous catheter causing liver abscess in a preterm infant", Biol Neonate, 88, pp.54~56 (2005)
- Kutsunai T, "Abscess of the liver of umbilical origin in infants: Report of two cases", Am J Dis Child, 51, pp.1385~1396 (1936)
- Moens E, "Hepatic abscesses associated with umbilical catheterization in two neonates", Eur J Pediatr, 162, pp.406~409 (2003)
- Chusid MJ, "Pyogenic hepatic abscess in infancy and childhood", Pediatrics, 62, pp.554~559 (1978)
- Moss TJ, "Hepatic abscess in neonates", Am J Dis Child, 135, pp.726~728 (1981)
- Maruyama K, "Solitary liver abscess caused by methicillin-resistent Staphylococcus aureus in a very low birth weight infant", Pediatr Int, 42, pp.380~382 (2000)
- Seo HJ, "Two cases of solitary liver abscess in preterm infant suspiciously caused by umbilical venous catheter", J Korean Soc Neonatol, 13, pp.267~272 (2006)
- Fraga JR, "Liver abscess and sepsis due to Klebsiella pneumoniae in a newborn. A complication of umbilical vein catheterization", Clin Pediatr (Phila), 13, pp.1081~1082 (1974)
- Larsen LR, "Liver abscess", J Pediatr Surg, 14, pp.329~331 (1979)
- Sharma S, "Hepatic abscess in a preterm neonate", Indian Pediatr, 44, pp.226~228 (2007)