一名先前健康的青少年因肺炎链球菌和表皮葡萄球菌引起的弥漫性腹腔和盆腔脓肿
Disseminated Intra-abdominal and Pelvic Abscesses Caused by Streptococcus pneumoniae and Staphylococcus epidermidis in a Previously Healthy Adolescent.
摘要(中文译文)
一名14岁健康男孩，最初按疑似肌肉拉伤进行治疗，随后六周内出现进行性左腿疼痛、腹股沟肿块及体重下降30磅。实验室检查显示白细胞增多、贫血、血小板增多及炎症标志物升高。CT显示多房性盆腔及髂腰肌脓肿，伴骶髂关节化脓性关节炎、骨髓炎及硬膜外蔓延。他接受了椎板切除术、手术及CT引导下引流以及长期针对性抗生素治疗。培养结果生长出 和 。针对免疫缺陷、克罗恩病及恶性肿瘤的广泛检查均为阴性。即使缺乏传统危险因素，也应考虑非典型侵袭性感染。早期影像学检查、感染源控制及长期抗菌治疗是管理复杂性深部脓肿的关键。
Abstract
A 14-year-old healthy boy, initially treated for presumed muscle strain, developed progressive left leg pain, a groin mass, and a 30-pound weight loss over six weeks. Labs showed leukocytosis, anemia, thrombocytosis, and elevated inflammatory markers. CT revealed multiloculated pelvic and iliopsoas abscesses with sacroiliac septic arthritis, osteomyelitis, and epidural extension. He underwent a laminectomy, surgical and CT-guided drainage, and prolonged targeted antibiotics. Cultures grew and . Extensive workup for immunodeficiency, Crohn's disease, and malignancy was negative. Atypical invasive infection should be considered even in the absence of traditional risk factors. Early imaging, source control, and prolonged antimicrobial therapy are critical in managing complex deep-seated abscesses.
如何引用
AMA
Astha Poudel, Sharmila Lamichhane, Sydney E Shaffer, Haris Javed. Disseminated Intra-abdominal and Pelvic Abscesses Caused by Streptococcus pneumoniae and Staphylococcus epidermidis in a Previously Healthy Adolescent.. Cureus. 2026; doi:10.7759/cureus.107392.
APA
Astha Poudel, Sharmila Lamichhane, Sydney E Shaffer, Haris Javed (2026). Disseminated Intra-abdominal and Pelvic Abscesses Caused by Streptococcus pneumoniae and Staphylococcus epidermidis in a Previously Healthy Adolescent.. Cureus. https://doi.org/10.7759/cureus.107392
GB/T 7714
Astha Poudel, Sharmila Lamichhane, Sydney E Shaffer, Haris Javed. Disseminated Intra-abdominal and Pelvic Abscesses Caused by Streptococcus pneumoniae and Staphylococcus epidermidis in a Previously Healthy Adolescent.[J]. Cureus, 2026 doi:10.7759/cureus.107392.
在 PubMed增强版 阅读全文
翻译全文 · AI 文献问答 · PDF 原文下载 · 引用导出