A case of acute cholecystitis due to Aeromonas sobria and Hafnia alvei from northern Europe

Wiström, Johan; Myrnäs, Torbjörn; Lundgren, Catharina; Monsen, Tor

doi:10.1111/j.1469-0691.1998.tb00048.x

Cited by 6 publications

(4 citation statements)

References 11 publications

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“…are environmental organisms generally found in temperate and tropical aquatic climates and only a few cases of cholecystitis caused by Aeromonas spp. have been reported in the literature (Wistrom et al . 1998), while its association with gallstones has not been reported in previous studies.…”

Section: Discussionmentioning

confidence: 82%

Tract microflora in Saudi patients with cholelithiasis

Harbi

Osoba

Mowallad

et al. 2001

Tropical Med Int Health

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Summary OBJECTIVESOBJECTIVES To identify the micro¯ora in the gallbladder of patients undergoing laparoscopic cholecystectomy for gallstones, and the antibiotic susceptibility pattern of the isolates, as well as the usefulness of Gram staining of bile at the time of operation. METHODS METHODS Bile samples were obtained from 112 patients undergoing elective laparoscopic cholecystectomy for gallstones and inoculated directly into aerobic and anaerobic blood culture bottles in the operating theatre. Samples were also collected in sterile universal containers for Gram staining of a centrifuged deposit. Isolates were identi®ed and their in-vitro susceptibilities determined by Kirby Bauer technique. RESULTS RESULTSOf 112 bile samples examined, 28 (25%) were culture positive, four of which contained more than one organism. The most common organisms isolated were Escherichia coli 9 (28.1%), Enterococcus faecalis 5 (15.6%) and Pseudomonas aeruginosa 3 (9.4%). In one sample we found Aeromonas hydrophilia and Enterobacter cloacae. No anaerobes were detected but Candida albicans was isolated in one case. In 19 bile samples (67.8%) organisms were identi®ed on Gram stain. Positive bile cultures were found statistically signi®cant (P < 0.05) in patients over the age of 50 (13/32), in patients who developed post-operative fever (6/12) and patients who developed leucocytosis (5/6). CONCLUSIO N CONCLUSION Age over 50 years was the only signi®cant pre-operative factor associated with positive bile cultures (P < 0.05). In view of the micro¯ora of the gallbladder and the susceptibility pattern of our isolates we would suggest that antibiotic prophylaxis recommended for laparoscopic cholecystectomy for gallstones needs to be reviewed and the role of bacteribilia in the surgical management of cholelithiasis requires further study.

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Section: Discussionmentioning

confidence: 82%

Tract microflora in Saudi patients with cholelithiasis

Harbi

Osoba

Mowallad

et al. 2001

Tropical Med Int Health

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“…H. alvei has infrequently been linked to hepatobiliary disease, including two cases of hepatic abscess (mixed cultures and bacteremia after liver transplantation) (10). Two cases of cholecystitis associated with Hafnia infection have also been published (105,144). In one of these cases, that of a 67-year-old woman who apparently developed biliary disease after handling fish, hafniae were recovered from the infected gall bladder in small numbers in comparison to the predominant Aeromonas.…”

Section: Miscellaneous Infectionsmentioning

confidence: 98%

The Genus Hafnia : from Soup to Nuts

2006

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SUMMARY The genus Hafnia, a member of the family Enterobacteriaceae, consists of gram-negative bacteria that are occasionally implicated in both intestinal and extraintestinal infections in humans. Despite the fact that the genus currently contains only a single species (H. alvei), more extensive phylogenetic depth (two or more species) is apparent based upon DNA relatedness and 16S rRNA gene sequencing studies. Hafnia causes a variety of systemic infections, including septicemia and pneumonia; however, its role as a gastrointestinal pathogen is controversial. Many of the data supporting a role for hafniae as enteric pathogens were incorrectly attributed to this genus rather than to the actual pathogen, Escherichia albertii. There are numerous gaps in our understanding of this genus, including ecologic habitats and population genetics, disease-producing role in animals, phenetic and genetic methods useful in distinguishing genomospecies within the H. alvei complex, and bona fide pathogenicity factors.

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“…No duplicates were found. We included in our analysis 447 cases—262 S. paucimobilis infections and 185 H. alvei infections ( Figure 3 ) [ 34 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 ].…”

Section: Resultsmentioning

confidence: 99%

The Gram-Negative Bacilli Isolated from Caves—Sphingomonas paucimobilis and Hafnia alvei and a Review of Their Involvement in Human Infections

Ionescu

Neagoe

Crăciun

et al. 2022

IJERPH

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The opportunistic infections with Gram-negative bacilli are frequently reported. The clinical studies are focused on the course of human infectious and very often the source of infection remain unclear. We aim to see if the Gram-negative bacilli isolated from a non-contaminated environment—the caves—are reported in human infections. Eleven samples were collected from six Romanian caves. We used the standard procedure used in our clinical laboratory for bacterial identification and for antibiotic susceptibility testing of the cave isolates. Out of the 14 bacterial strains, three isolates are Gram-negative bacilli—one isolate belong to Hafnia alvei and two strains belong to Sphingomonas paucimobilis. We screened for the published studies—full-text original articles or review articles—that reported human infections with S. paucimobilis and H. alvei. Data sources—PubMed and Cochrane library. We retrieved 447 cases from 49 references—262 cases (58.61%) are S. paucimobilis infections and 185 cases (41.39%) are H. alvei infections. The types of infections are diverse but there are some infections more frequent; there are 116 cases (44.27%) and many infections of the bloodstream with S. paucimobilius (116 cases) and 121 cases (65.41%) are urinary tract infections with H. alvei. The acquired source of the bloodstream infections is reported for 93 of S. paucimobilis bloodstream infections—50 cases (43%) are hospital-acquired, and 40 cases (37%) are community-acquired. Most of the infections are reported in patients with different underlying conditions. There are 80 cases (17.9%) are reported of previously healthy persons. Out of the 72 cases of pediatric infections, 62 cases (86.11%) are caused by S. paucimobilis. There are ten death casualties—three are H. alvei infections, and seven are S. paucimobilis infections.

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A case of acute cholecystitis due to Aeromonas sobria and Hafnia alvei from northern Europe

Cited by 6 publications

References 11 publications

Tract microflora in Saudi patients with cholelithiasis

Tract microflora in Saudi patients with cholelithiasis

The Genus Hafnia : from Soup to Nuts

The Gram-Negative Bacilli Isolated from Caves—Sphingomonas paucimobilis and Hafnia alvei and a Review of Their Involvement in Human Infections

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