Colecistitis aguda perforada con bacteriemia por Actinomyces naeslundii

Guillermo Ropero-Luis; Estíbaliz Romero-Masa; Antonio Plata-Ciézar; Juan Diego Ruiz-Mesa; José María Reguera-Iglesias

doi:10.32818/reccmi.a8n1a18

Authors

Guillermo Ropero-Luis Internal Medicine Department, Hospital de la Serranía, Ronda, Málaga, Spain https://orcid.org/0000-0002-2661-3812
Estíbaliz Romero-Masa Internal Medicine Department, Hospital Regional Universitario de Málaga, Spain https://orcid.org/0009-0008-6368-7248
Antonio Plata-Ciézar Infectious Diseases Service, Hospital Regional Universitario de Málaga, Spain https://orcid.org/0000-0002-5913-4674
Juan Diego Ruiz-Mesa Infectious Diseases Service, Hospital Regional Universitario de Málaga, Spain https://orcid.org/0000-0003-4083-1354
José María Reguera-Iglesias Infectious Diseases Service, Hospital Regional Universitario de Málaga, Spain https://orcid.org/0000-0001-6819-513X

DOI:

https://doi.org/10.32818/reccmi.a8n1a18

Keywords:

Actinomyces, Actinomycosis, cholecystitis, gallbladder, bacteremia

Abstract

Actinomycosis of the gallbladder is a very rare condition: only 25 cases have been reported in the medical literature to date. We report a case of a 68-year-old man presented with short term fever and no obvious source of infection. Complementary tests revealed perforated acute cholecystitis along with bacteremia due to Actinomyces naeslundii. The patient was treated with amoxicillin-clavulanate for 3 weeks, significantly lower than the usual course. Subsequently, he underwent elective cholecystectomy. Histopathological study of the surgical specimen confirmed complete resolution of the infection.

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