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Campylobacterjejuni cholecystitis: a rare but significant clinical entity.

Authors
  • Vaughan-Shaw, Peter G1
  • Rees, Jonathan Richard
  • White, Diana
  • Burgess, Phillip
  • 1 Salisbury District Hospital, Surgery, Odstock Road, Salisbury, Wiltshire, SP2 8BJ, UK.
Type
Published Article
Journal
BMJ Case Reports
Publisher
BMJ
Publication Date
Jan 01, 2010
Volume
2010
Identifiers
DOI: 10.1136/bcr.10.2009.2365
PMID: 22485123
Source
Medline
License
Unknown

Abstract

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.

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