首页|Clostridium perfringens bacteremia caused by choledocholithiasis in the absence of gallbladder stones

Clostridium perfringens bacteremia caused by choledocholithiasis in the absence of gallbladder stones

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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.

CholedocholithiasisClostridium perfringensBacteremia

Antwan Atia、Tejas Raiyani、Pranav Patel、Robert Patton、Mark Young

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Departments of Gastroenterology, James H Quillen VA Medical Center, Johnson, Mountain Home, TN 37615, United States

General Internal Medicine, Quillen College of Medicine, East Tennessee State University, Johnson, Mountain Home, TN 37615, United States

2012

10.3748/wjg.v18.i39.5632

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子：1.001
ISSN：1007-9327
年,卷(期)：2012.18(39)
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