Open AccessClostridium perfringens bacteremia caused by choledocholithiasis in the absence of gallbladder stones
Author(s) -
Antwan Atia,
Tejas Raiyani,
P.G. Patel,
Robert D. Patton,
Mark Young
Publication year - 2012
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v18.i39.5632
Subject(s) - clostridium perfringens , medicine , bacteremia , gallbladder , gastroenterology , common bile duct , cholecystectomy , abdomen , gallstones , abdominal pain , biliary tract , radiology , antibiotics , microbiology and biotechnology , biology , bacteria , genetics
A 67-years-old male presented with periumbilical abdominal pain, fever and jaundice. His anaerobic blood culture was positive for clostridium perfringens. Computed tomogram scan of the abdomen and abdominal ultrasound showed normal gallbladder and common bile duct (CBD). Subsequently magnetic resonance cholangiopancreaticogram showed choledocholithiasis. Endoscopic retrograde cholangiopancreaticogramwith sphincterotomy and CBD stone extraction was performed. The patient progressively improved with antibiotic therapy Choledocholithiasis should be considered as a source of clostridium perfringens bacteremia especially in the setting of elevated liver enzymes with cholestatic pattern.