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Acute cholecystitis with sepsis due to Edwardsiella tarda: a case report
BACKGROUND: Edwardsiella tarda (E. tarda) is a Gram-negative facultative anaerobe belonging to Enterobacteriales and is commonly isolated from fishes and reptiles. Infection due to E. tarda is uncommon among humans, with a reported human retention rate of 0.001%. It can cause sepsis in the elderly o...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10593693/ https://www.ncbi.nlm.nih.gov/pubmed/37872407 http://dx.doi.org/10.1186/s40792-023-01763-z |
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author | Hara, Chisato Tanaka, Tetsuya Nishiwada, Satoshi Kirihataya, Yuki Yoshimura, Atsushi |
author_facet | Hara, Chisato Tanaka, Tetsuya Nishiwada, Satoshi Kirihataya, Yuki Yoshimura, Atsushi |
author_sort | Hara, Chisato |
collection | PubMed |
description | BACKGROUND: Edwardsiella tarda (E. tarda) is a Gram-negative facultative anaerobe belonging to Enterobacteriales and is commonly isolated from fishes and reptiles. Infection due to E. tarda is uncommon among humans, with a reported human retention rate of 0.001%. It can cause sepsis in the elderly or those with pre-existing conditions such as liver failure, autoimmune disease, or malignancy. E. tarda is susceptible to many antibiotics; however, a high mortality rate (approximately 40%) has been reported with sepsis. CASE PRESENTATION: A 65-year-old woman presented to our hospital with a chief complaint of fever and abdominal pain for 2 days. Her blood tests showed elevated inflammatory markers, and contrast-enhanced computed tomography showed distention and wall thickening of the gallbladder and inflammation of peri-gallbladder fat. Subsequently, a diagnosis of cholecystitis with systemic inflammatory response syndrome was made. Laparoscopic cholecystectomy was performed after starting antimicrobial therapy. Blood culture of samples obtained on admission were positive for E. tarda, which was also detected in bile juice culture. Therefore, she was diagnosed with bacteremia caused by E. tarda, and postoperative antimicrobial therapy was continued. The patient improved, and there were no complications. CONCLUSIONS: We experienced an extremely rare case of acute cholecystitis caused by E. tarda. Only a few cases of acute cholecystitis due to E. tarda have been reported. Furthermore, similar to this case, no previous study has reported the detection of E. tarda in both blood and bile cultures in acute cholecystitis cases. In addition to appropriate surgical intervention, continuous administration of antibiotics based on culture results resulted in a favorable outcome. |
format | Online Article Text |
id | pubmed-10593693 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-105936932023-10-25 Acute cholecystitis with sepsis due to Edwardsiella tarda: a case report Hara, Chisato Tanaka, Tetsuya Nishiwada, Satoshi Kirihataya, Yuki Yoshimura, Atsushi Surg Case Rep Case Report BACKGROUND: Edwardsiella tarda (E. tarda) is a Gram-negative facultative anaerobe belonging to Enterobacteriales and is commonly isolated from fishes and reptiles. Infection due to E. tarda is uncommon among humans, with a reported human retention rate of 0.001%. It can cause sepsis in the elderly or those with pre-existing conditions such as liver failure, autoimmune disease, or malignancy. E. tarda is susceptible to many antibiotics; however, a high mortality rate (approximately 40%) has been reported with sepsis. CASE PRESENTATION: A 65-year-old woman presented to our hospital with a chief complaint of fever and abdominal pain for 2 days. Her blood tests showed elevated inflammatory markers, and contrast-enhanced computed tomography showed distention and wall thickening of the gallbladder and inflammation of peri-gallbladder fat. Subsequently, a diagnosis of cholecystitis with systemic inflammatory response syndrome was made. Laparoscopic cholecystectomy was performed after starting antimicrobial therapy. Blood culture of samples obtained on admission were positive for E. tarda, which was also detected in bile juice culture. Therefore, she was diagnosed with bacteremia caused by E. tarda, and postoperative antimicrobial therapy was continued. The patient improved, and there were no complications. CONCLUSIONS: We experienced an extremely rare case of acute cholecystitis caused by E. tarda. Only a few cases of acute cholecystitis due to E. tarda have been reported. Furthermore, similar to this case, no previous study has reported the detection of E. tarda in both blood and bile cultures in acute cholecystitis cases. In addition to appropriate surgical intervention, continuous administration of antibiotics based on culture results resulted in a favorable outcome. Springer Berlin Heidelberg 2023-10-24 /pmc/articles/PMC10593693/ /pubmed/37872407 http://dx.doi.org/10.1186/s40792-023-01763-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Case Report Hara, Chisato Tanaka, Tetsuya Nishiwada, Satoshi Kirihataya, Yuki Yoshimura, Atsushi Acute cholecystitis with sepsis due to Edwardsiella tarda: a case report |
title | Acute cholecystitis with sepsis due to Edwardsiella tarda: a case report |
title_full | Acute cholecystitis with sepsis due to Edwardsiella tarda: a case report |
title_fullStr | Acute cholecystitis with sepsis due to Edwardsiella tarda: a case report |
title_full_unstemmed | Acute cholecystitis with sepsis due to Edwardsiella tarda: a case report |
title_short | Acute cholecystitis with sepsis due to Edwardsiella tarda: a case report |
title_sort | acute cholecystitis with sepsis due to edwardsiella tarda: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10593693/ https://www.ncbi.nlm.nih.gov/pubmed/37872407 http://dx.doi.org/10.1186/s40792-023-01763-z |
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