Hepatic portal venous gas associated with Klebsiella oxytoca infection in the absence of preceding antibiotic treatment.
Antibiotics
Hepatic portal venous gas
Klebsiella oxytoca
Journal
Clinical journal of gastroenterology
ISSN: 1865-7265
Titre abrégé: Clin J Gastroenterol
Pays: Japan
ID NLM: 101477246
Informations de publication
Date de publication:
Aug 2019
Aug 2019
Historique:
received:
10
01
2019
accepted:
02
02
2019
pubmed:
11
2
2019
medline:
21
1
2020
entrez:
11
2
2019
Statut:
ppublish
Résumé
Klebsiella oxytoca (K. oxytoca) is a causative organism for hemorrhagic antibiotic-associated colitis. K. oxytoca infection is a typical example of microbial substitution diseases caused by exposure to antibiotics prior to the onset of diarrhea. Here, we repot a case with ileitis associated with K. oxytoca infection in the absence of preceding antibiotic treatment. Interestingly, abdominal computed tomography revealed wall thickening of the ileum and hepatic portal venous gas (HPVG). K. oxytoca was isolated from the stool. This very elderly patient had been treated with azathioprine for long-standing history of ulcerative colitis. Immuno-compromised state of this patient was considered to allow overgrowth of K. oxytoca in the small bowel to cause not only ileitis but also HPVG.
Identifiants
pubmed: 30739249
doi: 10.1007/s12328-019-00947-1
pii: 10.1007/s12328-019-00947-1
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
316-319Références
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