Acute cholecystitis complicated with gallbladder empyema due to Mycobacterium tuberculosis in a patient with diabetes mellitus: a case report

Acute cholecystitis severity ranges from mild to very severe, and its most dreadful complication is gallbladder empyema. It can be caused by several etiologic agents, but Mycobacterium tuberculosis is not common among them. Here we present a 61-year-old female who lives in an area of high tuberculos...

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Autores principales: Ortiz-Hernández, Alejandro, Castro Flores, Jorge Andrés, Álvarez-Hernández, Diego-Abelardo, Pérez Aldrett, Fernando, Herrera González, Laura Perfinka, Méndez Ibarra, Jorge Uriel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9558873/
https://www.ncbi.nlm.nih.gov/pubmed/36248186
http://dx.doi.org/10.1177/20499361221129161
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author Ortiz-Hernández, Alejandro
Castro Flores, Jorge Andrés
Álvarez-Hernández, Diego-Abelardo
Pérez Aldrett, Fernando
Herrera González, Laura Perfinka
Méndez Ibarra, Jorge Uriel
author_facet Ortiz-Hernández, Alejandro
Castro Flores, Jorge Andrés
Álvarez-Hernández, Diego-Abelardo
Pérez Aldrett, Fernando
Herrera González, Laura Perfinka
Méndez Ibarra, Jorge Uriel
author_sort Ortiz-Hernández, Alejandro
collection PubMed
description Acute cholecystitis severity ranges from mild to very severe, and its most dreadful complication is gallbladder empyema. It can be caused by several etiologic agents, but Mycobacterium tuberculosis is not common among them. Here we present a 61-year-old female who lives in an area of high tuberculosis endemicity and has type 2 diabetes mellitus. She came to our hospital with a 2-day history of moderate-to-severe colicky right upper quadrant abdominal pain and other clinical manifestations compatible with AC. Imaging studies confirmed the diagnosis. An emergency open cholecystectomy was performed and the gallbladder was sent for histopathologic examination. M. tuberculosis was identified by molecular studies and the treatment was adjusted. The patient recovered uneventfully. The clinical history and physical examination are essential for raising the index of suspicion, but complementary evaluation with imaging studies is necessary to confirm the diagnosis and evaluate its complications. Tuberculosis is a major health problem worldwide, and health professionals should be aware of its clinical spectrum to approach and manage common and uncommon presentations within their scope of attention.
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spelling pubmed-95588732022-10-14 Acute cholecystitis complicated with gallbladder empyema due to Mycobacterium tuberculosis in a patient with diabetes mellitus: a case report Ortiz-Hernández, Alejandro Castro Flores, Jorge Andrés Álvarez-Hernández, Diego-Abelardo Pérez Aldrett, Fernando Herrera González, Laura Perfinka Méndez Ibarra, Jorge Uriel Ther Adv Infect Dis Case Report Acute cholecystitis severity ranges from mild to very severe, and its most dreadful complication is gallbladder empyema. It can be caused by several etiologic agents, but Mycobacterium tuberculosis is not common among them. Here we present a 61-year-old female who lives in an area of high tuberculosis endemicity and has type 2 diabetes mellitus. She came to our hospital with a 2-day history of moderate-to-severe colicky right upper quadrant abdominal pain and other clinical manifestations compatible with AC. Imaging studies confirmed the diagnosis. An emergency open cholecystectomy was performed and the gallbladder was sent for histopathologic examination. M. tuberculosis was identified by molecular studies and the treatment was adjusted. The patient recovered uneventfully. The clinical history and physical examination are essential for raising the index of suspicion, but complementary evaluation with imaging studies is necessary to confirm the diagnosis and evaluate its complications. Tuberculosis is a major health problem worldwide, and health professionals should be aware of its clinical spectrum to approach and manage common and uncommon presentations within their scope of attention. SAGE Publications 2022-10-11 /pmc/articles/PMC9558873/ /pubmed/36248186 http://dx.doi.org/10.1177/20499361221129161 Text en © The Author(s), 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Ortiz-Hernández, Alejandro
Castro Flores, Jorge Andrés
Álvarez-Hernández, Diego-Abelardo
Pérez Aldrett, Fernando
Herrera González, Laura Perfinka
Méndez Ibarra, Jorge Uriel
Acute cholecystitis complicated with gallbladder empyema due to Mycobacterium tuberculosis in a patient with diabetes mellitus: a case report
title Acute cholecystitis complicated with gallbladder empyema due to Mycobacterium tuberculosis in a patient with diabetes mellitus: a case report
title_full Acute cholecystitis complicated with gallbladder empyema due to Mycobacterium tuberculosis in a patient with diabetes mellitus: a case report
title_fullStr Acute cholecystitis complicated with gallbladder empyema due to Mycobacterium tuberculosis in a patient with diabetes mellitus: a case report
title_full_unstemmed Acute cholecystitis complicated with gallbladder empyema due to Mycobacterium tuberculosis in a patient with diabetes mellitus: a case report
title_short Acute cholecystitis complicated with gallbladder empyema due to Mycobacterium tuberculosis in a patient with diabetes mellitus: a case report
title_sort acute cholecystitis complicated with gallbladder empyema due to mycobacterium tuberculosis in a patient with diabetes mellitus: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9558873/
https://www.ncbi.nlm.nih.gov/pubmed/36248186
http://dx.doi.org/10.1177/20499361221129161
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