A Case of Acute Cholecystitis Caused by Plasmodium vivax Infection / 대한췌담도학회지
Korean Journal of Pancreas and Biliary Tract
;
: 162-167, 2015.
Article
in Korean
| WPRIM
| ID: wpr-28883
ABSTRACT
Acute cholecystitis as a complication of malarial disease is a rare condition, especially with Plasmodium vivax infection. A 62 year-old-female was admitted via emergency room (ER) due to high fever (40.3degrees C) and epigastric pain. Initial abdominal ultrasound and computed tomography (CT) scan showed edematous gallbladder with stone, which suggested acute calculous cholecystitis. Emergency percutaneous transhepatic gallbladder drainage (PTGBD) was done with systemic antibiotic therapy. The clinical course, however, unusually worsened with hypotension and intensive care unit (ICU) management was done. Four days after admission multi-focal splenic infarction was developed and Plasmodium vivax infection was diagnosed afterward. The clinical symptoms and laboratory results, including fever and epigastric pain, improved dramatically after anti-malarial treatment and cholecystectomy was done. The resected gallbladder (GB) specimen shows vasculitis pattern with capillary red blood cell (RBC) engorgement, which suggests the cause of cholecystitis was due to Plasmodium vivax rather than GB stone.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Plasmodium
/
Plasmodium vivax
/
Splenic Infarction
/
Vasculitis
/
Capillaries
/
Cholecystectomy
/
Drainage
/
Cholecystitis
/
Ultrasonography
/
Cholecystitis, Acute
Type of study:
Diagnostic study
Language:
Korean
Journal:
Korean Journal of Pancreas and Biliary Tract
Year:
2015
Type:
Article
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