Ascending cholangitis presenting with Lactococcus lactis cremoris bacteraemia: A case report

被引：11

作者：

Davies J. ^{[1
]}

Burkitt M.D. ^{[2
]}

Watson A. ^{[2
]}

机构：

[1] Tropical and Infectious Diseases Unit, Royal Liverpool and Broadgreen University Hospitals Trust, Liverpool L7 8XP, Prescot Street

[2] The Henry Wellcome Laboratories, Unit of Gastroenterology, The University of Liverpool, Liverpool L69 3GE, Ashton Street

来源：

Journal of Medical Case Reports | / 3卷 / 1期

关键词：

Cholangitis; Biliary Drainage; Septic Arthritis; Common Bile Duct Stone; Endoscopic Retrograde Cholangiography;

D O I：

10.1186/1752-1947-3-3

中图分类号：

学科分类号：

摘要：

Introduction: A case of Lactococcus lactis cremoris causing cholangitis is described. This Gram-positive organism is not routinely considered to be pathogenic in immunocompetent individuals. To our knowledge, this is the thirteenth report of invasive infection and the first of cholangitis to be reported in association with this organism. Case presentation: A 72-year-old patient presented with Charcot's triad and was demonstrated to have cholangitis with Lactococcus lactis cremoris bacteraemia. Biliary drainage was achieved through endoscopic retrograde cholangiography. Antibiotic therapy with multiple agents was necessary. Conclusion: This report provides corroboration of evidence that Lactococcus lactis cremoris is a potential pathogen in immunocompetent adults. There remains a debate about the most appropriate empirical antibiotic therapy in this condition. In the light of this case, it is important to keep an open mind to potential pathogens. © 2009 Davies et al; licensee BioMed Central Ltd.

引用

共 15 条

[1]

Leung D.Y.L., Kwong Y.Y.Y., Ma C.H., Wong W.M., Lam D.S.C., Canaliculitis associated with a combined infection of lactococcus lactis cremoris and eikenella corrodens, Jpn J Ophthalmol, 50, pp. 284-298, (2006)

[2]

Koyuncu M., Acuner I.C., Uyar M., Deep neck infection due to lactococcus lactis cremoris: A case report, Eur Arch Otorhinolaryngol, 262, 9, pp. 719-721, (2005)

[3]

Antolin J., Ciguenza R., Saluena E., Vazquez J., Hernandez J., Espinos D., Liver abscess caused by lactococcus lactis cremoris: A new pathogen, Scand J Infect Dis, 36, pp. 490-491, (2004)

[4]

Akhaddar A., El Mostarchid B., Gazzaz M., Boucetta M., Cerebellar abscess due to lactococcus lactis. A new pathogen, Acta Neurochir (Wien), 144, pp. 305-306, (2002)

[5]

Nakarai T., Morita K., Nojiri Y., Nei J., Kawamori Y., Liver abscess due to lactococcus lactis cremoris, Paediatr Int, 42, pp. 699-701, (2000)

[6]

Pellizzer G., Benedetti P., Biavasco F., Manfrin V., Franzetti M., Scagnelli M., Scarparo C., de Lalla F., Bacterial endocarditis due to lactococcus lactis subsp. cremoris: Case report, Clin Microbiol Infect, 2, pp. 230-232, (1996)

[7]

Durand J.M., Rousseau M.C., Gandois J.M., Kaplanski G., Mallet M.N., Soubeyrand J., Streptococcus lactis septacemia in a patient with chronic lymphocytic leukemia, Am J Hematol, 50, pp. 64-65, (1995)

[8]

Campbell P., Dealler S., Lawton J.O., Septic arthritis and unpasteurised milk, J Clin Pathol, 46, pp. 1057-1058, (1993)

[9]

Mannion P.T., Rothburn M.M., Diagnosis of bacterial endocarditis caused by Streptococcus lactis and assisted by immunoblotting of serum antibodies, J Infect, 21, pp. 317-326, (1990)

[10]

Torre D., Sampietro C., Fiori G.P., Luzzaro F., Necrotizing pneumonitis and emphysema caused by streptococcus cremoris from milk, Scand J Infect Dis, 22, pp. 221-222, (1990)

← 1 2 →