Acute septicaemic acalculous cholecystitis complicated by empyema caused by Salmonella group D in a previously healthy child.
We describe a rare case of acute acalculous cholecystitis (AC) due to Salmonella group D infection in a previously healthy child who developed gall bladder empyema and bacteraemia. Salmonella group D was recovered from blood culture, as well as cultures of stool, bile and gall bladder wall samples. The patient was successfully treated using cholecystectomy in combination with ceftriaxone therapy.


CONCLUSIONS
Rapid diagnosis of acute acalculous cholecysitis can reduce mortality in this disease.
Lo
Wen-Tsung
WT
Department of Paediatrics, Tri-Service General Hospital, No 325, Cheng-Kung Road, Sec 2, Neihu 114, Taipei, Taiwan.
Wang
Chih-Chien
CC
Chu
Mong-Ling
ML
D000208:Acute Disease; D002675:Child, Preschool; D002763:Cholecystectomy; D002764:Cholecystitis / Q000150:complications* / Q000000981:diagnostic imaging* / Q000382:microbiology / Q000601:surgery; D006801:Humans; D008297:Male; D012480:Salmonella Infections / Q000150:complications*; D018805:Sepsis / Q000382:microbiology*; D014057:Tomography, X-Ray Computed