Immune-complex-like disease in the course of Enterobacter cloacae sepsis due to cholelithic cholecystitis preceded by influenza vaccination.
This case report describes a 52-y-old male patient who, one week after influenza vaccination, presented with abdominal symptoms: pain in the right epigastrium followed by liver dysfunction and pyrexia, as well renal failure, muscles pain and consciousness disorders. Immune-complex-like disease and Enterobacter cloacae sepsis due to cholelithic cholecystitis were diagnosed. In this case, a correlation between vaccination and immune complex-like-disease was suspected based on the onset of symptoms a few days after vaccination and clinical improvement after plasmapheresis. The etiopathogenesis of immune-complex-like disease in this case possibly could relate to the similarity of the vaccine antigens and E. cloacae antigens as well a genetic predisposition.
Internal Medicine Ward of the Voivedship Hospital, Opole, Poland.
Sławomir
S
Tubek
Józef
J
Bojko
Magdalena
M
Żurek
Krzysztof
K
Kamiński
Marek
M
Szymkowicz
Janusz
J
Pichurski
Renata
R
Szyguła
Małgorzata
M
Sobieszczańska
D002764:Cholecystitis / Q000150:complications* / Q000473:pathology; D016972:Enterobacter cloacae / Q000472:pathogenicity*; D004756:Enterobacteriaceae Infections / Q000473:pathology*; D006801:Humans; D007105:Immune Complex Diseases / Q000150:complications* / Q000473:pathology; D007252:Influenza Vaccines / Q000008:administration & dosage / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D018805:Sepsis / Q000473:pathology*
D007252:Influenza Vaccines