Acute Cholecystitis Complicated with Gallbladder Perforation and Peritonitis Caused by Vancomycin-resistant Lactobacillus paracasei

被引：3

作者：

Lee, Christina ^{[1
]}

Wongjarupong, Nicha ^{[2
]}

Narayan, Muthu ^{[3
]}

Melzer, Anne C. ^{[4
]}

机构：

[1] Univ Minnesota, Sch Med, Internal Med, St Paul, MN 55108 USA

[2] Univ Minnesota, Sch Med, Internal Med, Minneapolis, MN 55455 USA

[3] Minneapolis Vet Affairs Hlth Care Syst, Infect Dis, Minneapolis, MN USA

[4] Minneapolis Vet Affairs Hlth Care Syst, Pulm Crit Care Allergy & Sleep, Minneapolis, MN USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2020年 / 12卷 / 03期

关键词：

gallbladder perforation; peritonitis; vancomycin-resistant lactobacillus; acute cholecystitis;

D O I：

10.7759/cureus.7476

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 66-year-old female has a medical history of remote subarachnoid hemorrhage and dysphagia. She presented with acute onset of right upper quadrant abdominal pain. Ultrasound showed acute cholecystitis, and subsequent CT scan of the abdomen and pelvis showed gallbladder perforation. The patient's hospital course was complicated with peritonitis, and bile culture grew vancomycin-resistant Lactobacillus paracasei. This case report will focus on an unusual case, in which Lactobacillus acts as the primary pathogen in peritonitis secondary to an cholecystitis-induced gallbladder perforation. There are four other case reports worldwide that illustrate Lactobacillus species as the primary pathogen in cholecystitis, only one of which was complicated with peritonitis.

引用

页数：6

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