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J Coll Physicians Surg Pak ; 28(3): S35-S36, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29482700

RESUMO

Elizabethkingia (E.) meningosepticais a ubiquitous gram-negative bacillus belonging to the genus Chryseobacteriumand has been reported to cause nosocomial infections in both the immunocompromised and immunocompetent patients. E. meningoseptica can colonize the biliary tree after endoscopic procedures; and cholangitis, caused by this organism, is associated with a favorable prognosis. Here, we report a fatal case of cholangitis secondary to E. meningoseptica that developed following biliary stent placement. This case suggests that E. meningoseptica can be a cause of potentially fatal biliary tract infections in patients who undergo biliary tract endoscopic procedures. Clinicians must not disregard this organism as a contaminant (or colonizer) as a delay in diagnosis and treatment can lead to a fatal outcome, as seen in this case.


Assuntos
Procedimentos Cirúrgicos do Sistema Biliar/efeitos adversos , Sistema Biliar/fisiopatologia , Colangiopancreatografia Retrógrada Endoscópica/métodos , Chryseobacterium/isolamento & purificação , Infecções por Flavobacteriaceae/diagnóstico , Stents , Idoso , Colangite/terapia , Drenagem , Farmacorresistência Bacteriana Múltipla , Evolução Fatal , Feminino , Humanos
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