Acute Cholecystitis Complicated with Gallbladder Perforation and Peritonitis Caused by Vancomycin-resistant Lactobacillus paracasei

Christina Lee, Nicha Wongjarupong, Muthu Narayan, Anne C Melzer

Research output: Contribution to journalArticle

Abstract

A 66-year-old female has a medical history of remote subarachnoid hemorrhage and dysphagia. She presented with acute onset of right upper quadrant abdominal pain. Ultrasound showed acute cholecystitis, and subsequent CT scan of the abdomen and pelvis showed gallbladder perforation. The patient's hospital course was complicated with peritonitis, and bile culture grew vancomycin-resistant Lactobacillus paracasei. This case report will focus on an unusual case, in which Lactobacillus acts as the primary pathogen in peritonitis secondary to an cholecystitis-induced gallbladder perforation. There are four other case reports worldwide that illustrate Lactobacillus species as the primary pathogen in cholecystitis, only one of which was complicated with peritonitis.

Original languageEnglish (US)
Pages (from-to)e7476
JournalCureus
Volume12
Issue number3
DOIs
StatePublished - Mar 30 2020

Bibliographical note

Copyright © 2020, Lee et al.

PubMed: MeSH publication types

  • Case Reports

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