Liver abscess due to Bacillus cereus: a case report.
Bacillus cereus is a food-borne pathogen that causes a self-limiting gastroenteritis. We describe the case of a 72-year-old woman admitted to our hospital because of acute abdominal colic pain. Over a 2-day period, her clinical condition deteriorated rapidly, with the appearance of acute abdomen. Computed tomography investigation of the abdomen showed a liver abscess (diameter approximately 3 cm). At laparotomy, the abscess was found to be ruptured to the free peritoneal cavity. The final clinical diagnosis was acute peritonitis due to a ruptured liver abscess. Bacillus cereus was isolated from culture of the pus. Up to now, no case of liver abscess due to this organism has been reported.
Latsios
G
G
2nd Department of Medicine, Hellenic Red Cross Hospital, Ambelokipi, Athens, Greece. glatsios@med.uoa.gr
Petrogiannopoulos
C
C
Hartzoulakis
G
G
Kondili
L
L
Bethimouti
K
K
Zaharof
A
A
D000006:Abdomen, Acute / Q000150:complications* / Q000382:microbiology / Q000601:surgery; D000368:Aged; D001409:Bacillus cereus / Q000254:growth & development*; D017809:Fatal Outcome; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000150:complications* / Q000382:microbiology; D006801:Humans; D007813:Laparotomy; D008100:Liver Abscess / Q000382:microbiology* / Q000601:surgery