title: Clostridium perfringens bacteremia caused by choledocholithiasis in the absence of gallbladder stones.
abstract: A 67-years-old male presented with periumbilical abdominal pain, fever and jaundice. His anaerobic blood culture was positive for clostridium perfringens. Computed tomogram scan of the abdomen and abdominal ultrasound showed normal gallbladder and common bile duct (CBD). Subsequently magnetic resonance cholangiopancreaticogram showed choledocholithiasis. Endoscopic retrograde cholangiopancreaticogramwith sphincterotomy and CBD stone extraction was performed. The patient progressively improved with antibiotic therapy Choledocholithiasis should be considered as a source of clostridium perfringens bacteremia especially in the setting of elevated liver enzymes with cholestatic pattern.
authors.affiliation: Department of Gastroenterology, James H Quillen V.A. Medical Center, Johnson, Mountain Home, TN 37615, United States. antwan.atia@yahoo.com
authors.forename: Antwan
authors.initials: A
authors.lastname: Atia
authors.forename: Tejas
authors.initials: T
authors.lastname: Raiyani
authors.forename: Pranav
authors.initials: P
authors.lastname: Patel
authors.forename: Robert
authors.initials: R
authors.lastname: Patton
authors.forename: Mark
authors.initials: M
authors.lastname: Young
mesh_terms: D000368:Aged; D016470:Bacteremia / Q000382:microbiology*; D042883:Choledocholithiasis / Q000150:complications*; D003015:Clostridium Infections / Q000382:microbiology*; D003016:Clostridium perfringens / Q000302:isolation & purification*; D006801:Humans; D008297:Male
keywords: Bacteremia; Choledocholithiasis; Clostridium perfringens