The First Case Report of Acute Cholangitis and Bacteremia Due to <i>Neisseria subflava</i>
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- Uwamino Yoshifumi
- Center for Infectious Diseases and Infection Control, Keio University School of Medicine, Japan Department of Laboratory Medicine, Keio University School of Medicine, Japan
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- Sugita Kayoko
- Center for Infectious Diseases and Infection Control, Keio University School of Medicine, Japan
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- Iwasaki Eisuke
- Department of Internal Medicine, Division of Gastroenterology and Hepatology, Keio University School of Medicine, Japan
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- Fujiwara Hiroshi
- Center for Infectious Diseases and Infection Control, Keio University School of Medicine, Japan
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- Nishimura Tomoyasu
- Health Center, Keio University, Japan
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- Hasegawa Naoki
- Center for Infectious Diseases and Infection Control, Keio University School of Medicine, Japan
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- Iwata Satoshi
- Center for Infectious Diseases and Infection Control, Keio University School of Medicine, Japan
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抄録
<p>We herein report a case of acute cholangitis and bacteremia caused by a commensal Neisseria species, Neisseria subflava, in an 82-year-old man with cholangiocarcinoma. Emergency endoscopic nasobiliary drainage and cefoperazone/sulbactam therapy were effective. Gram negative coccobacilli were isolated from both blood and bile cultures on 5% sheep blood agar. The isolate was identified as N.subflava biovar perflava by mass spectrometry, a sequence analysis of the 16S rRNA, and biochemical testing. Although biliary infections due to commensal Neisseria are extremely rare, this case demonstrates the possibility of its occurrence in patients undergoing bile duct treatment. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 56 (2), 221-223, 2017
一般社団法人 日本内科学会