tailieunhanh - Báo cáo y học: " Ascending cholangitis presenting with Lactococcus lactis cremoris bacteraemia: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Ascending cholangitis presenting with Lactococcus lactis cremoris bacteraemia: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Ascending cholangitis presenting with Lactococcus lactis cremoris bacteraemia a case report Jane Davies 1 Michael David Burkitt 2 and Alastair Watson2 Address Tropical and Infectious Diseases Unit Royal Liverpool and Broadgreen University Hospitals Trust Prescot Street Liverpool L7 8XP UK and 2The Henry Wellcome Laboratories Unit of Gastroenterology School of Clinical Science 1st Floor Nuffield Building Ashton Street The University of Liverpool Liverpool L69 3GE UK Email Jane Davies - janedavies4@ Michael David Burkitt - Alastair Watson - Corresponding author fEqual contributors Published 6 January 2009 Received 18 February 2008 Journal of Medical Case Reports 2009 3 3 doi 1752-1947-3-3 Accepted 6 January 2009 This article is available from http content 3 1 3 2009 Davies et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction A case of Lactococcus lactis cremoris causing cholangitis is described. This Grampositive organism is not routinely considered to be pathogenic in immunocompetent individuals. To our knowledge this is the thirteenth report of invasive infection and the first of cholangitis to be reported in association with this organism. Case presentation A 72-year-old patient presented with Charcot s triad and was demonstrated to have cholangitis with Lactococcus lactis cremoris bacteraemia. Biliary drainage was achieved through endoscopic retrograde cholangiography. Antibiotic therapy with multiple agents was necessary. Conclusion This report provides corroboration of evidence that Lactococcus lactis cremoris is a potential .