title: Subphrenic abscess secondary to Actinomycosis meyeri and Klebsiella ozaenae following laparoscopic cholecystectomy.
abstract: A case is reported of a subphrenic abscess 12 months post-laparoscopic cholecystectomy in a 72-year-old male with identification of Actinomyces meyeri and the oropharyngeal commensal Klebsiella ozaenae. The first organism is exceptionally rare following laparoscopic cholecystectomy and is presumed to be a result of inadvertent gallstone spillage. The second organism has not previously been reported in a subphrenic abscess. The etiopathogenesis and management of this condition are presented.
authors.affiliation: Department of Surgery, Universities of New England and Newcastle, Tamworth Rural Referral Hospital, Newcastle, New South Wales, Australia. apzbar@yahoo.com
authors.forename: Andrew P
authors.initials: AP
authors.lastname: Zbar
authors.forename: Weranja
authors.initials: W
authors.lastname: Ranasinghe
authors.forename: Philip J
authors.initials: PJ
authors.lastname: Kennedy
mesh_terms: D000190:Actinomyces / Q000302:isolation & purification; D000196:Actinomycosis / Q000150:complications / Q000188:drug therapy / Q000209:etiology*; D000368:Aged; D000890:Anti-Infective Agents / Q000627:therapeutic use; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D006801:Humans; D007709:Klebsiella / Q000302:isolation & purification; D007710:Klebsiella Infections / Q000150:complications / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D013369:Subphrenic Abscess / Q000209:etiology / Q000382:microbiology*; D013530:Surgical Wound Infection / Q000188:drug therapy / Q000382:microbiology*
chemical_list: D000890:Anti-Infective Agents