Parvimonas Micra 에 의해 동시 발생한 간농양 및 뇌농양
Concomitant Liver and Brain Abscesses Caused by Parvimonas Micra
김은영, 백양현, 정동식, 우광숙,
소속 상세정보
김은영 ( Kim Eun-Young )
동아대학교병원 소화기내과
백양현 ( Baek Yang-Hyun )
동아대학교병원 소화기내과
정동식 ( Jung Dong-Sik )
동아대학교병원 감염내과
우광숙 ( Woo Kwang-Sook )
동아대학교병원 진단검사의학과
Abstract
Anaerobic infections have been reported to be responsible for 3-10% of pyogenic liver abscesses in Korea, and reported anaerobes include Fusobacterium, Bacillus fragilis, and Bacteroides melaninogenicus. Parvimonas micra is an anaerobic, Gram-positive, non-spore-forming bacterial species and a constituent of normal flora on skin, vagina, gastrointestinal tract, and oral cavity that can cause opportunistic infections. However, it has only rarely been reported to be a cause of liver abscess; only one such case has been reported in Korea. We experienced a case of concomitant liver and brain abscesses caused by Parvimonas micra in a non-immunodeficient 65-year-old female patient without diabetes or periodontal disease. Parvimonas micra infection was confirmed by blood culture using VITEK? 2 cards and by bacterial 16s ribosomal RNA gene sequencing. We conclude that we should not overlook anaerobes as a cause of liver abscess.
키워드
Liver abscess; Brain abscess; Parvimonas Micra; Bacteria, anaerobic
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