[Generalized pain syndrome, fever and somnolence in an 81-year-old patient].
We present a case of an 81-year-old diabetic man with anaerobic sepsis due to acalculous cholecystitis. The patient was admitted to our hospital with a seven-day history of severe abdominal pain accompanied with fever and somnolence. Blood cultures taken during the initial procedure developed Clostridium perfringens. The patient was immediately treated with parenteral penicillin. The ultrasonography pointed out the case: the gall bladder was found to be distended and slightly thickened. This result was interpreted as an acute non-emphysematous cholecystitis. The material obtained by needle aspiration and therapeutical emptying of the gall bladder revealed large gram positive rods, that also proved to be Clostridium perfringens. The patients course afterwards was uneventful. Antibiotics were continued and he was discharged after 13 days in a stable condition.
Fuchs
K F
KF
Klinik für Innere Medizin und Rheumatologie, Klinikum Bethanien Chemnitz gGmbH. inneremedizin@bethanien-sachsen.de
Kopischke
S
S
Grimmer
U
U
Hrdlicka
P
P
D000368:Aged; D000369:Aged, 80 and over; D001431:Bacteriological Techniques; D002764:Cholecystitis / Q000175:diagnosis*; D003016:Clostridium perfringens; D003244:Consciousness Disorders / Q000209:etiology*; D003937:Diagnosis, Differential; D005335:Fever of Unknown Origin / Q000209:etiology*; D005738:Gas Gangrene / Q000175:diagnosis*; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology*; D018805:Sepsis / Q000175:diagnosis*; D014463:Ultrasonography