TY - JOUR
T1 - Aeromonas veronii biovar veronii and sepsis-infrequent complication of biliary drainage placement
T2 - A case report
AU - Monti, Manlio
AU - Torri, Arianna
AU - Amadori, Elena
AU - Rossi, Alice
AU - Bartolini, Giulia
AU - Casadei, Chiara
AU - Frassineti, Giovanni Luca
PY - 2019/3/1
Y1 - 2019/3/1
N2 - BACKGROUND Aeromonas species are uncommon pathogens in biliary sepsis and cause substantial mortality in patients with impaired hepatobiliary function. Asia has the highest incidence of infection from Aeromonas, whereas cases in the west are rare. CASE SUMMARY We report the case of a 64-year-old woman with advanced pancreatic cancer and jaundice who manifested fever, abdominal pain, severe thrombocytopenia, anemia and kidney failure following the insertion of a percutaneous transhepatic biliary drainage. Blood culture results revealed the presence of Aeromonas veronii biovar veronii (A. veronii biovar veronii). After antibiotic therapy and transfusions, the life-threatening clinical conditions of the patient improved and she was discharged. CONCLUSION This was a rare case of infection, probably the first to be reported in West countries, caused by A. veronii biovar veronii following biliary drainage. A finding of Aeromonas must alert clinician to the possibility of severe sepsis.
AB - BACKGROUND Aeromonas species are uncommon pathogens in biliary sepsis and cause substantial mortality in patients with impaired hepatobiliary function. Asia has the highest incidence of infection from Aeromonas, whereas cases in the west are rare. CASE SUMMARY We report the case of a 64-year-old woman with advanced pancreatic cancer and jaundice who manifested fever, abdominal pain, severe thrombocytopenia, anemia and kidney failure following the insertion of a percutaneous transhepatic biliary drainage. Blood culture results revealed the presence of Aeromonas veronii biovar veronii (A. veronii biovar veronii). After antibiotic therapy and transfusions, the life-threatening clinical conditions of the patient improved and she was discharged. CONCLUSION This was a rare case of infection, probably the first to be reported in West countries, caused by A. veronii biovar veronii following biliary drainage. A finding of Aeromonas must alert clinician to the possibility of severe sepsis.
KW - Aeromonas
KW - Aeromonas veronii biovar veronii
KW - Biliary tract infection
KW - Case report
KW - Cholangitis
KW - Pancreatic cancer
KW - Sepsis
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U2 - 10.12998/wjcc.v7.i6.759
DO - 10.12998/wjcc.v7.i6.759
M3 - Article
AN - SCOPUS:85063720503
VL - 7
SP - 759
EP - 764
JO - World Journal of Clinical Cases
JF - World Journal of Clinical Cases
SN - 2307-8960
IS - 6
ER -