장게실염에 동반된 Streptococcus viridans와 Bacteroides fragilis 균혈증에 의한 문맥염 1예
A case of pylephlebitis with Streptococcus viridans and Bacteroides fragilis bacteremia secondary to diverticulitis
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초록
문맥염은 증상이 다양하고 비특이적이어서 조기 진단이 어렵고, 치료시기를 놓치면 높은 치사율을 보이기 때문에 빠른 진단과 치료가 예후에 중요한 질환이다. 저자들은 지속되는 발열을 주소로 내원한 환자에서 게실염에 동반되어 나타난 S.viridans와 B.fragilis 균혈증에 의한 문맥염을 발견하였고, 항생제 치료만으로 호전되어 퇴원한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Pylephlebitis, a septic thrombophlebitis of the portal vein or one of its tributaries, is a life-threatening complication of intra-abdominal infection. The causes of pylephlebitis include acute diverticulitis, appendicitis, acute cholecystitis, necrotizing pancreatitis, inflammatory bowel disease, and bowel perforation. Although pylephlebitis is an unusual complication of diverticulitis, its morbidity and mortality remain high. Therefore, early diagnosis and initiation of adequate antibiotic therapy is important for improving the long-term prognosis of patients suffering from this rare disease. We report a case of pylephlebitis with Streptococcus viridans and Bacteroides fragilis bacteremia secondary to diverticulitis with a review of the literature.
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