title: Community-acquired bacteremia and acute cholecystitis due to Enterobacter cloacae: a case report.
abstract: BACKGROUND
  Enterobacter cloacae is responsible for 65-75% of all Enterobacter infections, bacteremia being the most common syndrome. The majority of infections are nosocomially acquired and in patients with predisposing factors.
  
  
  METHODS
  We present a case of E. cloacae bacteremia secondary to acute cholecystitis in a 60-year-old man with recent diagnosis of cholelithiasis. The diagnosis was established with abdominal echography and positive blood and biliary cultures. The patient was managed successfully with cholecystectomy and antibiotic therapy.
  
  
  CONCLUSIONS
  The peculiarity of our case is the development of community-acquired bacteremia due to E. cloacae with a clear infectious focus, as a single agent isolated in several blood cultures, in a patient without severe underlying diseases, prior antimicrobial use or previous hospital admission. Although the majority of Enterobacter spp. infections are nosocomially acquired, primary bacteremia being the most common syndrome, these pathogens may also be responsible for community-acquired cases. Patients without predisposing factors may also be affected.
authors: Guillermo
authors: G
authors: Isasti
authors: Laura
authors: L
authors: Mora
authors: Victoria
authors: V
authors: García
authors: Jesus
authors: J
authors: Santos
authors: Rosario
authors: R
authors: Palacios
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