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Chronic cholecystitis from Raoultella planticola infection associated with adenomyomatous hyperplasia
A 67-year-old woman presented with lower abdominal pain, diarrhea, nausea, vomiting and fatigue. Computed tomography was suggestive of cholecystitis, but neither ultrasound nor magnetic resonance cholangiopancreatography found evidence of cholecystitis or biliary ductal dilatation. The patient was s...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9704786/ https://www.ncbi.nlm.nih.gov/pubmed/36452290 http://dx.doi.org/10.1093/jscr/rjac529 |
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author | Doherty, Gerald Kreinces, Jason Souza, Fabiola Kim, Daniel E |
author_facet | Doherty, Gerald Kreinces, Jason Souza, Fabiola Kim, Daniel E |
author_sort | Doherty, Gerald |
collection | PubMed |
description | A 67-year-old woman presented with lower abdominal pain, diarrhea, nausea, vomiting and fatigue. Computed tomography was suggestive of cholecystitis, but neither ultrasound nor magnetic resonance cholangiopancreatography found evidence of cholecystitis or biliary ductal dilatation. The patient was started on piperacillin-tazobactam, and blood cultures revealed gram-negative-rod bacteremia. Laparoscopic cholecystectomy was performed and bile cultures grew Raoultella planticola susceptible to ciprofloxacin, which was identical to the speciation of her positive blood cultures. In addition, pathology revealed adenomyomatous hyperplasia of the gallbladder and chronic cholecystitis. Unlike other cases of R. planticola cholecystitis, our patient had no significant risk factors for the infection—no history of immunosuppression, diabetes mellitus, nor underlying malignancy. We discuss the current knowledge of R. planticola infection in the setting of chronic cholecystitis and adenomyomatous hyperplasia. |
format | Online Article Text |
id | pubmed-9704786 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-97047862022-11-29 Chronic cholecystitis from Raoultella planticola infection associated with adenomyomatous hyperplasia Doherty, Gerald Kreinces, Jason Souza, Fabiola Kim, Daniel E J Surg Case Rep Case Report A 67-year-old woman presented with lower abdominal pain, diarrhea, nausea, vomiting and fatigue. Computed tomography was suggestive of cholecystitis, but neither ultrasound nor magnetic resonance cholangiopancreatography found evidence of cholecystitis or biliary ductal dilatation. The patient was started on piperacillin-tazobactam, and blood cultures revealed gram-negative-rod bacteremia. Laparoscopic cholecystectomy was performed and bile cultures grew Raoultella planticola susceptible to ciprofloxacin, which was identical to the speciation of her positive blood cultures. In addition, pathology revealed adenomyomatous hyperplasia of the gallbladder and chronic cholecystitis. Unlike other cases of R. planticola cholecystitis, our patient had no significant risk factors for the infection—no history of immunosuppression, diabetes mellitus, nor underlying malignancy. We discuss the current knowledge of R. planticola infection in the setting of chronic cholecystitis and adenomyomatous hyperplasia. Oxford University Press 2022-11-28 /pmc/articles/PMC9704786/ /pubmed/36452290 http://dx.doi.org/10.1093/jscr/rjac529 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2022. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Doherty, Gerald Kreinces, Jason Souza, Fabiola Kim, Daniel E Chronic cholecystitis from Raoultella planticola infection associated with adenomyomatous hyperplasia |
title | Chronic cholecystitis from Raoultella planticola infection associated with adenomyomatous hyperplasia |
title_full | Chronic cholecystitis from Raoultella planticola infection associated with adenomyomatous hyperplasia |
title_fullStr | Chronic cholecystitis from Raoultella planticola infection associated with adenomyomatous hyperplasia |
title_full_unstemmed | Chronic cholecystitis from Raoultella planticola infection associated with adenomyomatous hyperplasia |
title_short | Chronic cholecystitis from Raoultella planticola infection associated with adenomyomatous hyperplasia |
title_sort | chronic cholecystitis from raoultella planticola infection associated with adenomyomatous hyperplasia |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9704786/ https://www.ncbi.nlm.nih.gov/pubmed/36452290 http://dx.doi.org/10.1093/jscr/rjac529 |
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