Campylobacterjejuni cholecystitis: a rare but significant clinical entity

Cholecystitis caused by Campylobacter is rare with only 14 cases found in the literature. This case describes a 71-year-old man who presented with right hypochondrial abdominal pain due to a gangrenous gallbladder identified at laparotomy. Culture of a bile sample identified a slow-growing gram-nega...

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Bibliographic Details
Published in:BMJ case reports 2010, Vol.2010, p.bcr1020092365-bcr1020092365
Main Authors: Vaughan-Shaw, Peter G, Rees, Jonathan Richard, White, Diana, Burgess, Phillip
Format: Article
Language:English
Subjects:
Abdomen
Abdominal surgery
Antibiotics
Bile ducts
Blood pressure
Campylobacter
Catheters
Gallbladder
Gallbladder diseases
Gallstones
Guillain-Barre syndrome
Infections
Laboratories
Laparotomy
Patients
Ulcers
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Summary:Cholecystitis caused by Campylobacter is rare with only 14 cases found in the literature. This case describes a 71-year-old man who presented with right hypochondrial abdominal pain due to a gangrenous gallbladder identified at laparotomy. Culture of a bile sample identified a slow-growing gram-negative bacterium identified as Campylobacter jejuni. After a poor clinical response, this identification allowed targeted antibiotic treatment resulting in a slow but successful recovery and discharge 17 days postoperatively. This case demonstrates the importance of considering rare organisms in severe acute cholecystitis and ensuring appropriate cultures are performed, particularly in those who fail to respond to initial antimicrobial treatment.
ISSN:1757-790X
DOI:10.1136/bcr.10.2009.2365