Bacteremia Associated with Percutaneous Extraction of Biliary Tract Stones

Low, Daniel; Shoenut, J P; Durbahn, G.; Morrow, Ian M.; Harding, G. K. M.; Kennedy, Jean; Lautatzis, Maria-Elena

doi:10.1093/infdis/159.5.984

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…Enterococcus species represented 22% of isolates, while 28% were Escherichia coli. The majority of remaining isolates were other enterobacteriaceae and aerobic Grampositive cocci (2). Thus, although unproven, the percutaneous extraction of a calculus through the T tube tract is the probable source of this patient's valve infection.…”

Section: Discussionmentioning

confidence: 93%

“…Low et al (2) found bacteremia in 17 of 32 (53%) of these procedures. Enterococcus species represented 22% of isolates, while 28% were Escherichia coli.…”

Section: Discussionmentioning

confidence: 96%

“…That the organism originated in the patient's obstructed biliary tract has not been proven, as a culture of bile was not obtained during the T tube manipulation. However, E jaecalis is frequently cultured from the biliary tract when obstruction or cholangitis is present, and is a common cause of bacteremia during biliary tract manipulative procedures (2).…”

Section: Discussionmentioning

confidence: 99%

“…In 28 patients, bacteriobilia was found in 31 of 32 aspirates taken through an indwelling T tube at the time of percutaneous extraction of calculi. Enterococcus species made up 17% of bile isolates (2).…”

Section: Discussionmentioning

confidence: 99%

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Enterococcus Faecalis Endocarditis Following Percutaneous Manipulation of a Biliary Tract Calculus and ERCP

Ronald

Pattullo

1990

Canadian Journal of Infectious Diseases and Medical Microbiolog

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A case of Enterococcus jaecalis endocarditis followed endoscopic retrograde cholangiopancreatography and percutaneous extraction of a biliary calculus is reported. The most likely cause of endocarditis, though unproven, is the latter procedure, as the bile is often infected during biliary tract obstruction, and bacteremia is freq u ent du ring percutaneous manipulations. Initial therapy with vancomycin was unsuccessful in clearing the bacteremia, possibly due B ACTERIAL ENDOCARDITIS OF A NORMAL HEART VALVE has not been reported as a consequence ofT tube manipulation or endoscopic retrograde cholangiopancreatography (ERCP). The authors recently managed a case of Enterococcus jaecalis endocarditis that occurred following these procedures, and which faile d to resolve with initial therapy using vancomycin alone. to vancomycin tolerance of the isolate and lack of an aminoglycoside in the initial regimen. Cure was obtained when therapy with ampicillin and gentamicin was underta ken. Can J Infect Dis 1990;1(4):143-145 Department of Infectious Diseases and Medical Key Words : B ilia r y , E n doca r d i tis . Enterococcus faecalis. Endoscopic retrograde cho langiopan creatography. Vancomycin CASE PRESENTATIONA 58-year-old male was admitteu to hospital with a two week history of fever, chills and sweats. Six months previou s ly he had had a cholecystectomy for acute obstructive jaun dice, at which time calculi that could not be extracted were presen t in the common b ile duct. He u nderwent ERCP twice in the next two months with removal of one calculus on each occasion. On e week after the last ERCP and four months prior to admission, the T tube was cannulated and a fina l calculus extracted with difficulty. Prop hylaxis with cefoxitin was used at the initial s u rgery, and a bile culture at surgery was negative . The s u bsequent procedures were done without antibiotic prophylaxis , and no cultures were taken.143

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Section: Discussionmentioning

confidence: 93%

“…Low et al (2) found bacteremia in 17 of 32 (53%) of these procedures. Enterococcus species represented 22% of isolates, while 28% were Escherichia coli.…”

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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