Bacteriological examination of gallbladder contents

Petakovic, Goran; Korica, Milan; Gavrilovic, Sava

doi:10.2298/mpns0206225p

Cited by 8 publications

(8 citation statements)

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“…Although to our knowledge there is no information in the literature regarding the pathogenic role of C freundii in the development of infections in patients with AP, this bacteria has been shown to translocate in different experimental and clinical situations 37 47 48 and it is related to both biliary and intra-abdominal infections. [49][50][51][52] As bactDNA detection and identification in patients with AP is a new approach to the study of BT in humans, we do not know if C freundii is a frequent translocating agent in patients with AP.…”

Section: Discussionmentioning

confidence: 99%

Detection and identification of bacterial DNA in serum from patients with acute pancreatitis

de-Madaria

Martínez²,

Lozano³

et al. 2005

Gut

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Background and aims: Bacterial infections are common complications in patients with acute pancreatitis, and translocation of bacteria from the intestinal lumen is probably the first step in the pathogenesis of these infections. As blood cultures in afebrile patients are usually negative, more sensitive methods to investigate this hypothesis in patients are needed. Our group has recently developed a method to detect the presence of bacterial DNA in biological fluids, and we aimed to detect bacterial DNA in patients with acute pancreatitis, as molecular evidences of bacterial translocation. Methods: Samples of blood were obtained on three consecutive days within the first six days after admission. Bacterial DNA was detected using a polymerase chain reaction based method, and an automated DNA nucleotide sequencing process allowed identification of bacteria species. Results: Thirty one consecutively admitted patients with acute pancreatitis were studied. Bacterial DNA was detected in six patients (19.3%), and the sequencing process allowed identification of Citrobacter freundii and Pseudomonas aeruginosa. In two patients the same bacteria detected at admission was detected 24 hours later (above 99.9% homology of nucleotide sequence). Basic clinical and biochemical characteristics were similar among patients with or without the presence of bacterial DNA. Conclusion: Detection of gram negative bacteria derived bacterial DNA in our series supports the contention that bacterial translocation is a systemic process in approximately 20% of patients with acute pancreatitis that does not seem to be related to the severity of the episode or immediate development of infection.

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Section: Discussionmentioning

confidence: 99%

Detection and identification of bacterial DNA in serum from patients with acute pancreatitis

de-Madaria

Martínez²,

Lozano³

et al. 2005

Gut

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“…It rarely causes infective endocarditis [7]. Petakovic et al [8] reported that Escherichia coli is the most frequently isolated organism in patients with cholecystectomy (55.2%). Enterobacter species are isolated in less than 1.7% of the patients.…”

Section: Discussionmentioning

confidence: 99%

Late infective endocarditis after cholecystectomy in a patient with repaired tetralogy of Fallot: a case report

Çaylı

Demir

Yaliniz

et al. 2004

Int J Cardiovasc Imaging

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Late endocarditis after surgical repair of tetralogy of Fallot is rare. We describe a case of endocarditis following cholecystectomy in a 22-year old patient with repaired tetralogy of Fallot. After cholecystectomy, the patient was referred to a cardiology clinic with unexplained fever and suspicion of endocarditis. Echocardiography revealed a large mass at the basal level of interventricular septum. Endocarditis was diagnosed on the basis of clinical and echocardiographic findings and antibiotic treatment was initiated immediately. Nine days later, the clinical status of the patient deteriorated and urgent surgery was performed. Patch dehiscence which mimicked a large vegetation, and multiple vegetations on the patch were found during operation. The patch was removed and ventricular septum defect was repaired with a new dacron patch. Enterobacter agglomerans was isolated in the vegetation cultures.

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“…Amikasin, sefotaksim, seftazidim ve ampisilin-sulbaktam E.coli ve K.pneumoniae'ye karşı etkili bulunurken, P.aeruginosa için 3. kuşak antipsödomonal sefalosporinler veya florokinolonların etkili olacağı bildirilmiştir (13) . Görüldüğü gibi safra kültürlerinde en sık üreyen mikroorganizmalar başta E.coli ve K.pneumoniae olmak üzere Gram negatif enterik çomaklardır (6,7,8,17,18,22) . Biliyer sisteme yönelik invazif cerrahi girişimlerin ve biliyer stent kullanımının artmasıyla birlikte P.aeruginosa'nın görülme sıklığının arttığı belirtilmiştir (4,13) .…”

Section: Gram Negatif Bakteriler N:26unclassified