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Campylobacter jejuni cholecystitis: a rare but significant clinical entity

By Peter G Vaughan-Shaw, Jonathan Richard Rees, Diana White and Phillip Burgess

Abstract

Cholecystitis caused by Campylobacter is rare with only 14 cases found in the literature. This case describes a 71-year-old man who presented with right hypochondrial abdominal pain due to a gangrenous gallbladder identified at laparotomy. Culture of a bile sample identified a slow-growing gram-negative bacterium identified as Campylobacter jejuni. After a poor clinical response, this identification allowed targeted antibiotic treatment resulting in a slow but successful recovery and discharge 17 days postoperatively. This case demonstrates the importance of considering rare organisms in severe acute cholecystitis and ensuring appropriate cultures are performed, particularly in those who fail to respond to initial antimicrobial treatment

Topics: Article
Publisher: BMJ Publishing Group
OAI identifier: oai:pubmedcentral.nih.gov:3047486
Provided by: PubMed Central
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