![]() ![]() Accepted for publication Jan 02, 2020.Īdrenal gland abscess is rare in adults but less uncommon in newborns ( 1). Keywords: Adrenal gland abscess anaerobes metagenomic next-generation sequencing (mNGS) A follow-up lab examination of inflammatory biomarkers was normal, and the adrenal mass was reduced radiographically. ![]() Six days later, the patient had clinically improved and mNGS showed dramatically decreased reads of all pathogens. Thus, adrenal gland abscess was confirmed, and a combination therapy of catheter drainage and effective antimicrobial treatment was started. While surprisingly, metagenomic next-generation sequencing (mNGS) of both the pus and blood showed high reads of multiple pathogens, including anaerobes and the three culture-positive pathogens. ![]() Traditional culture only detected Escherichia coli, Proteus mirabilis, and Actinomyces turicensis. A smear of the pus showed both gram-positive and gram-negative microorganisms. A CT-guided percutaneous puncture was performed, and foul-smelling thick pus was removed, which indicated an anaerobic infection. Abdominal magnetic resonance imaging (MRI) revealed a hypodense lesion in the right suprarenal region, while PET/CT showed mildly increased metabolic activity.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |