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Recurrent Bacteremia and Cholangitis From Eroded Hepatic Artery Pseudoaneurysm Coil Into the Common Hepatic Duct: A Rare Indication for Liver Transplantation.
ACG Case Rep J
January 2025
Department of Medicine, Division of Gastrointestinal and Liver Diseases, Keck School of Medicine, University of Southern California, Los Angeles, CA.
Liver transplant may be necessary to manage infectious complications from severe structural biliary disease. In this report, we describe a 71-year-old woman with history of coil-embolized hepatic artery pseudoaneurysm who subsequently developed biliary obstruction resulting from coil erosion into the common hepatic duct. Resultant complications included recurrent cholangitis, bacteremia, and numerous hepatic abscesses.
View Article and Find Full Text PDFPrevention of Bacterial Infection in Biliary and Pancreatic Endoscopy-A Review.
Diagnostics (Basel)
December 2024
Department of Gastroenterology and Internal Medicine, Medical University of Warsaw, 02-097 Warsaw, Poland.
Background: Endoscopic retrograde cholangiopancreatography (ERCP) is a key therapeutic procedure in diseases of the pancreas or bile ducts. The understanding and effective management of the risks associated with the procedure, especially in the context of possible infectious complications, is crucial for patients' safety. The aim of this review was to analyze the results of studies on antibiotic prophylaxis for infectious complications of ERCP, pancreatoscopy, and cholangioscopy.
View Article and Find Full Text PDFThe Effectiveness and Safety of the Short-Course Therapy in Liver Transplant Recipients With Uncomplicated Gram-Negative Bacteremia: A Retrospective Study.
Transpl Infect Dis
December 2024
Department of Infectious Diseases, The University of Tokyo Hospital, Tokyo, Japan.
Introduction: The appropriate duration of therapy for uncomplicated gram-negative bloodstream infection (GN-BSI) in liver transplant (LTx) recipients remains unknown. This study aims to explore the effectiveness of a short-course antimicrobial therapy.
Methods: This retrospective study was performed in a single LTx center in Japan.
A Case of Cholangitis with Vibrio fluvialis Bacteremia Possibly Related to Frequent Consumption of Supermarket Sushi in a Japanese Woman with a Gallbladder-Duodenal Fistula.
J Infect Chemother
December 2024
Department of Gastroenterology, Nagoya City University East Medical Center, Aichi, Japan.
Vibrio fluvialis is a halophilic, motile, flagellated, gram-negative bacterium commonly associated with acute gastroenteritis. However, extraintestinal infections are rare. We describe an unusual case of V.
View Article and Find Full Text PDF[Rectal bleeding after positron emission tomography].
Rev Med Suisse
December 2024
Service de médecine nucléaire et d'imagerie moléculaire, Département de radiologie médicale, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Article Synopsis
- A 60-year-old patient with cirrhosis from alcohol use is hospitalized due to stone cholangitis and undergoes an endoscopic procedure that leads to severe upper digestive bleeding.
- The patient's condition worsens with signs of bacteremia, raising concerns about potential endocarditis, prompting a PET-CT scan for further evaluation.
- After undergoing the PET-CT, the patient experiences rectal bleeding; during some PET-CT preparations, heparin is used to enhance imaging quality.
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