Ascending cholangitis presenting with Lactococcus lactis cremoris bacteraemia: a case report

Davies, Jane, Burkitt, Michael David and Watson, Alastair ORCID: https://orcid.org/0000-0003-3326-0426 (2009) Ascending cholangitis presenting with Lactococcus lactis cremoris bacteraemia: a case report. Journal of Medical Case Reports, 3. ISSN 1752-1947

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Abstract

Introduction: A case of Lactococcus lactis cremoris causing cholangitis is described. This Gram-positive organism is not routinely considered to be pathogenic in immunocompetent individuals. To our knowledge, this is the thirteenth report of invasive infection and the first of cholangitis to be reported in association with this organism. Case presentation: A 72-year-old patient presented with Charcot's triad and was demonstrated to have cholangitis with Lactococcus lactis cremoris bacteraemia. Biliary drainage was achieved through endoscopic retrograde cholangiography. Antibiotic therapy with multiple agents was necessary. Conclusion: This report provides corroboration of evidence that Lactococcus lactis cremoris is a potential pathogen in immunocompetent adults. There remains a debate about the most appropriate empirical antibiotic therapy in this condition. In the light of this case, it is important to keep an open mind to potential pathogens.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: EPrints Services
Date Deposited: 25 Nov 2010 11:13
Last Modified: 18 Sep 2022 02:07
URI: https://ueaeprints.uea.ac.uk/id/eprint/15610
DOI: 10.1186/1752-1947-3-3

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