Dataset Information

Liver Abscess Caused by Pannonibacter phragmitetus: Case Report and Literature Review.

ABSTRACT: BACKGROUND:Bacterial hepatic abscess is a common occurrence in developing countries, which is mostly caused by Klebsiella pneumoniae and Escherichia coli. Pannonibacter phragmitetus is a Gram-negative alkali-tolerant bacillus that exists in the natural environment. Human infection by this bacterium is rare, with only four cases reported. METHOD:We presented one of these cases with a bacterial liver abscess by a polymicrobial infection involving P. phragmitetus and Streptococcus oralis, with P. phragmitetus being the predominate isolate. RESULT AND DISCUSSION:Our strain of P. phragmitetus was resistant to more antibiotics than the other reported two strains. This case further verified the infectivity of P. phragmitetus.

SUBMITTER: Wang M

PROVIDER: S-EPMC5403815 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature

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Liver Abscess Caused by <i>Pannonibacter phragmitetus</i>: Case Report and Literature Review.

Wang Mingxi M Zhang Xia X Jiang Tao T Hu Shaohua S Yi Zhengjun Z Zhou Yajun Y Ming Desong D Chen Shicheng S

Frontiers in medicine 20170425

<h4>Background</h4>Bacterial hepatic abscess is a common occurrence in developing countries, which is mostly caused by <i>Klebsiella pneumoniae</i> and <i>Escherichia coli</i>. <i>Pannonibacter phragmitetus</i> is a Gram-negative alkali-tolerant bacillus that exists in the natural environment. Human infection by this bacterium is rare, with only four cases reported.<h4>Method</h4>We presented one of these cases with a bacterial liver abscess by a polymicrobial infection involving <i>P. phragmite ...[more]

PMID: 28487855

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Project description:BackgroundActinomyces turicensis is rarely responsible of clinically relevant infections in human. Infection is often misdiagnosed as malignancy, tuberculosis, or nocardiosis, therefore delaying the correct identification and treatment. Here we report a case of a 55-year-old immunocompetent adult with brain abscess caused by A. turicensis. A systematic review of A. turicensis infections was performed.MethodsA systematic review of the literature was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The databases MEDLINE, Embase, Web of Science, CINAHL, Clinicaltrials.gov and Canadian Agency for Drugs and Technology in Health (CADTH) were searched for all relevant literature.ResultsSearch identified 47 eligible records, for a total of 67 patients. A. turicensis infection was most frequently reported in the anogenital area (n = 21), causing acute bacterial skin and skin structure infections (ABSSSI) including Fournier's gangrene (n = 12), pulmonary infections (n = 8), gynecological infections (n = 6), cervicofacial district infections (n = 5), intrabdominal or breast infections (n = 8), urinary tract infections (n = 3), vertebral column infections (n = 2) central nervous system infections (n = 2), endocarditis (n = 1). Infections were mostly presenting as abscesses (n = 36), with or without concomitant bacteremia (n = 7). Fever and local signs of inflammation were present in over 60% of the cases. Treatment usually involved surgical drainage followed by antibiotic therapy (n = 51). Antimicrobial treatments most frequently included amoxicillin (+clavulanate), ampicillin/sulbactam, metronidazole or cephalosporins. Eighty-nine percent of the patients underwent a full recovery. Two fatal cases were reported.ConclusionsTo the best of our knowledge, we hereby present the first case of a brain abscess caused by A. turicensis and P. mirabilis. Brain involvement by A. turicensis is rare and may result from hematogenous spread or by dissemination of a contiguous infection. The infection might be difficult to diagnose and therefore treatment may be delayed. Nevertheless, the pathogen is often readily treatable. Diagnosis of actinomycosis is challenging and requires prompt microbiological identification. Surgical excision and drainage and antibiotic treatment usually allow for full recovery.

Dataset Information

Liver Abscess Caused by Pannonibacter phragmitetus: Case Report and Literature Review.

Publications

Liver Abscess Caused by <i>Pannonibacter phragmitetus</i>: Case Report and Literature Review.

Similar Datasets

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