salmonella gastroenteritis complicated with bacteremia and ruptured cholangitis in an infant with congenital choledochal cyst
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ID: 212526
2007
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Abstract
Choledochal cyst perforation associated with bacteria is very rare. An 11-month-old infant was admitted to hospital because of fever and bloody diarrhea. Abdominal ultrasonogram revealed a choledochal cyst. Despite antibiotic treatment with initial improvement, jaundice and abdominal tenderness developed 6 days later. Ultrasonography-guided aspiration yielded bile-stained ascites. Emergency operation confirmed the diagnosis of choledochal cyst with perforation. Blood, stool, and bile juice cultures all yielded Salmonella typhimurium. To our knowledge, it is rare that a child with choledochal cyst has systemic infection with S. typhimurium and cyst perforation. We propose that systemic Salmonella infection carries a risk of cyst perforation in patients with congenital choledochal cyst. [J Formos Med Assoc 2007;106(3 Suppl):S20-S23]
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| Reference Key |
lai2007journalsalmonella
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|---|---|
| Authors | ;Chi-Yin Lai;Li-Tung Huang;Mao-Meng Tiao |
| Journal | Bioorganic & medicinal chemistry letters |
| Year | 2007 |
| DOI |
10.1016/S0929-6646(09)60361-2
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