First case report of acute cholangitis secondary to Cronobacter sakazakii

Abstract Introduction Cronobacter sakazakii is an opportunistic Gram-negative, rod-shaped bacterium which may be a causative agent of meningitis in premature infants and enterocolitis and bacteremia in neonates and adults. While there have been multiple cases of C. sakazakii infections, there have been no acute cholangitis cases reported in humans. Case presentation An 81-year-old male with a past medical history of basal cell carcinoma, alcoholic liver cirrhosis, transjugular intrahepatic portosystemic shunt procedure, complicated by staphylococcus bacteremia, pituitary tumor, glaucoma, and hypothyroidism presented to the emergency room with the complaint of diffuse and generalized 10/10 abdominal pain of 1 day’s duration. There was a concern for pancreatitis, acute cholangitis, and possible cholecystitis, and the patient underwent a percutaneous cholecystostomy tube placement. Blood cultures from admission and biliary fluid cultures both grew C. sakazakii. The patient was treated with a carbapenem and clinically improved. Conclusions The case study described a patient with multiple medical comorbidities that presented with C. sakazakii bacteremia and cholangitis. While this bacterium has been implicated in other infections, we believe this is the first time the bacteria is being documented to have caused acute cholangitis.

Download Full-text

Abstract No. 520 Clinical characteristics, imaging manifestations, and outcomes of patients undergoing percutaneous cholecystostomy tube placement for acute cholecystitis in the setting of COVID-19 infection

Journal of Vascular and Interventional Radiology ◽

10.1016/j.jvir.2021.03.329 ◽

2021 ◽

Vol 32 (5) ◽

pp. S138-S139

Author(s):

K. Chen ◽

E. Gandras ◽

C. Greben ◽

J. Weinstein

Keyword(s):

Acute Cholecystitis ◽

Clinical Characteristics ◽

Tube Placement ◽

Percutaneous Cholecystostomy ◽

Cholecystostomy Tube ◽

Percutaneous Cholecystostomy Tube

Download Full-text

Thinking ahead: gallbladder intussusception following transperitoneal percutaneous cholecystostomy tube placement

BMJ Case Reports ◽

10.1136/bcr-2020-238885 ◽

2021 ◽

Vol 14 (2) ◽

pp. e238885

Author(s):

Ryan William England ◽

Caleb Heiberger ◽

Harjit Singh

Keyword(s):

Tube Placement ◽

Pigtail Catheter ◽

Percutaneous Cholecystostomy ◽

Transperitoneal Approach ◽

Proper Position ◽

Image Guided ◽

Risk Patients ◽

Procedural Complications ◽

Cholecystostomy Tube ◽

Percutaneous Cholecystostomy Tube

Percutaneous cholecystostomy (PC) is a common minimally invasive, image-guided procedure performed primarily on high-risk patients with acute cholecystitis for gallbladder decompression. Herein, we present a case of a patient undergoing PC placement using a transperitoneal approach. On subsequent upsizing attempts, the gallbladder fundus was found to invaginate during advancement of replacement drains, causing gallbladder intussusception. The use of a balloon and locked pigtail catheter were required to reposition the gallbladder to proper position. The patient’s planned percutaneous cholecystoscopy was delayed by 4 weeks until intended upsizing could be performed. This case demonstrates the advantage of achieving transhepatic gallbladder access to support tract formation and limit procedural complications.

Download Full-text

Cholecystectomy following percutaneous cholecystostomy tube placement leads to higher rate of CBD injuries

Surgical Endoscopy ◽

10.1007/s00464-018-6559-4 ◽

2018 ◽

Vol 33 (8) ◽

pp. 2686-2690 ◽

Cited By ~ 4

Author(s):

Maria S. Altieri ◽

Lisa Bevilacqua ◽

Jie Yang ◽

Donglei Yin ◽

Salvatore Docimo ◽

...

Keyword(s):

Tube Placement ◽

Percutaneous Cholecystostomy ◽

Cholecystostomy Tube ◽

Percutaneous Cholecystostomy Tube

Download Full-text

Tu1777 Clinical Outcomes of Percutaneous Cholecystostomy Tube Placement in Critically Ill Patients With Acute Cholecystitis

Gastroenterology ◽

10.1016/s0016-5085(15)34025-7 ◽

2015 ◽

Vol 148 (4) ◽

pp. S-1180

Author(s):

Kenneth Sirinek ◽

Ronald M. Stewart ◽

Kent Van Sickle ◽

Wayne Schwesinger

Keyword(s):

Acute Cholecystitis ◽

Clinical Outcomes ◽

Critically Ill ◽

Critically Ill Patients ◽

Tube Placement ◽

Percutaneous Cholecystostomy ◽

Cholecystostomy Tube ◽

Percutaneous Cholecystostomy Tube

Download Full-text

Finding the Most Favorable Timing for Cholecystectomy after Percutaneous Cholecystostomy Tube Placement: An Analysis of Institutional and National Data

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2020.10.010 ◽

2021 ◽

Vol 232 (1) ◽

pp. 55-64

Author(s):

Steven G. Woodward ◽

Arturo J. Rios-Diaz ◽

Richard Zheng ◽

Connor McPartland ◽

Renee Tholey ◽

...

Keyword(s):

Tube Placement ◽

Percutaneous Cholecystostomy ◽

National Data ◽

Cholecystostomy Tube ◽

Percutaneous Cholecystostomy Tube

Download Full-text

A New End-title in the Herculaneum Papyri and the First Case of a Preserved subscriptio in One of the Books Assigned to Philodemus’ Systematic Arrangement of the Philosophers (PHerc. 327)

Mnemosyne ◽

10.1163/1568525x-12342568 ◽

2019 ◽

Vol 72 (3) ◽

pp. 437-458 ◽

Cited By ~ 1

Author(s):

Graziano Ranocchia

Keyword(s):

Greek Literature ◽

First Case ◽

History Of ◽

Internal Arrangement ◽

First Time

AbstractPhilodemus’ Systematic Arrangement of the Philosophers is witnessed only once in Greek literature (D.L. 10.3). This notwithstanding, several Herculaneum papyri have been assigned to it on various grounds. However, these assignments rest on varying degrees of probability, not least because the name of the author and the title of the work do not survive in any of these books. PHerc. 327, which hands down the so-called [History of the Eleatic and the Atomistic Schools], represents the first such case. I was able to detect its end-title for the first time and to read the name of its author, who is confirmed to be Philodemus. This increases the probability that also other three books which have historically been assigned to this treatise, and whose hands show a close likeness to each other and to PHerc. 327, effectively belong to it, thereby reinforcing the current communis opinio about its internal arrangement.

Download Full-text

Severe Pre-Eclampsia in Multiparous Women: Indication of an Environmental Triggering Agent?

Scottish Medical Journal ◽

10.1177/003693308703200104 ◽

1987 ◽

Vol 32 (1) ◽

pp. 8-10 ◽

Cited By ~ 5

Author(s):

D.C. Kilpatrick ◽

E.C. Jazwinska ◽

W.A. Liston ◽

G.E. Smart

Keyword(s):

Laboratory Data ◽

Infectious Agent ◽

Clinical Syndrome ◽

Case Histories ◽

First Case ◽

Multiparous Women ◽

History Of ◽

Maternal Immune Response ◽

First Time ◽

Normotensive Pregnancy

Two case histories are described with conflicting implications for the etiopathogenesis of pre-eclampsia. In both, typical proteinuric pre-eclampsia developed despite a history of previous normotensive pregnancy. In the first case, the disease was associated with a change of husband, consistent with the view that pre-eclampsia arises from an inadequate maternal immune response to paternal antigens inherited by the fetus. The second case, however, concerned a woman who developed pre-eclampsia for the first time in her third pregnancy by the same reproductive partner. We conclude that either more than one underlying cause can result in the clinical syndrome of pre-eclampsia, or that pre-eclampsia is caused by an environmental factor. The possibility that pre-eclampsia may be initiated by an infectious agent is briefly explored in the light of the clinical histories described and well-established epidemiological, clinical and laboratory data.

Download Full-text