A cause of aerobilia without biliodigestive fistula: Acute cholecystitis with anaerobic gram-positive bacterial infection

Allal, S.; Chrisment, D.; Blanc, B

doi:10.1016/j.jviscsurg.2016.05.001

Cited by 3 publications

(2 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The actual proportion of mixed infections is presumed to be higher, ranging from 15-90%, because the bile was not cultured for anaerobic bacteria in this study. The proportion of mixed infections with multiple bacteria is higher in severe cases and should be taken seriously [19,20].…”

Section: Discussionmentioning

confidence: 99%

Microbial profile, antibiotic sensitivity pattern and empirical antibiotic therapy in acute cholecystitis. A Retrospective observational study

Wang

et al. 2023

Preprint

View full text Add to dashboard Cite

Background In moderate or severe acute cholecystitis, effective antibiotic therapy is important. We aimed to analyze microorganisms isolated from the bile of patients treated with percutaneous transhepatic gallbladder drainage and their antibiotic susceptibility patterns to assess empirical antibiotic therapy in patients with acute cholecystitis. Methods A retrospective descriptive study of clinical data from patients with acute cholecystitis treated with PTGBD at Zhejiang Provincial People's Hospital from January 2020 to December 2022. Results Totally, 127 patients' clinical data were collected. 82 patients yielded positive for bile culture and 16 patients yielded positive for blood bacterial culture for at least 1 organism. A total of 124 microorganisms were isolated 19 bacterial and 1 fungal species. Escherichia coli (31.7%), Klebsiella pneumoniae (24.4%), Enterococcus faecium (8.9%), and Enterococcus faecalis(5.6%) were the most frequently isolated pathogenic organisms. Drug sensitivity studies have shown that Gram-negative bacteria are less susceptible to quinolones and cephalosporins, while Gram-positive bacteria are more resistant to erythromycin, and Streptomycin. Long-term nursing home stays are a risk factor for the generation of drug-resistant bacteria. Conclusions Escherichia coli, Klebsiella pneumoniae, and enterococcus are common causative agents of acute cholecystitis and they are highly resistant to clinically used antibiotics such as quinolones, cephalosporins, erythromycin, and Streptomycin. Empirical antibiotic use should cover both gram-negative and gram-positive bacteria, with triple-cephalosporins in combination with beta-lactamase inhibitors, carbapenem antibiotics such as imipenem and ertapenem preferred, and may be downgraded when the source of infection is controlled. Nursing facility patients should be aware of multi-drug-resistant bacteria.

show abstract

Section: Discussionmentioning

confidence: 99%

Microbial profile, antibiotic sensitivity pattern and empirical antibiotic therapy in acute cholecystitis. A Retrospective observational study

Wang

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…In these situations, aerobilia is likely to be an incidental finding without pathological significance. Infections of the bile ducts by anaerobic bacteria or a gallstone ileus present other rare cause for aerobilia [43,44]. Based on the patient's history and the breath-dependent movement of the gas in the patient's bile ducts, it can be differentiated from gas in the portal venous system [41,45].…”

Section: How To Differentiate Ultrasound Appearance Of Portalvenous G...mentioning

confidence: 99%

Portal venous gas detection in different clinical situations

et al. 2023

View full text Add to dashboard Cite

show abstract

Pneumobilia Após Colangite Complicada Com Sepse Associado a Colecistite Crônica - Relato De Caso

De Melo,

Persiano,

Cruz

et al. 2024

Rev. Contemp.

View full text Add to dashboard Cite

Pneumobilia tem como uma das principais causas comunicação entre o a via biliar e o trato digestivo através de uma fistula biliodigestiva, resultado de um calculo impactado em seu infundíbulo – Sd Mirizzi. Esse, no entanto, constitui única causa de aerobilia em exames de imagem; o presente caso representa um quadro de sepse por colecistite por bactérias anaeróbias (Klebsiella pneumoniae) que resultam em quadro semelhante com instabilidade hemodinâmica que foi o caso apresentando, com boa resolução após a cirurgia.

show abstract

A cause of aerobilia without biliodigestive fistula: Acute cholecystitis with anaerobic gram-positive bacterial infection

Cited by 3 publications

References 1 publication

Microbial profile, antibiotic sensitivity pattern and empirical antibiotic therapy in acute cholecystitis. A Retrospective observational study

Microbial profile, antibiotic sensitivity pattern and empirical antibiotic therapy in acute cholecystitis. A Retrospective observational study

Portal venous gas detection in different clinical situations

Pneumobilia Após Colangite Complicada Com Sepse Associado a Colecistite Crônica - Relato De Caso

Contact Info

Product

Resources

About