title: Severe Acute Cholangitis with Complications of Bacterial Meningitis Associated with Hearing Loss.
abstract: We herein report a case of severe acute cholangitis complicated by bacterial meningitis. A 56-year-old Japanese man was admitted to our hospital due to a consciousness disorder that had developed while he was being treated for acute cholangitis. The levels of both hepatobiliary enzymes and inflammatory markers were high, and computed tomography revealed common bile duct stones and cholangiectasis. A diagnosis of acute cholangitis was made, and meningitis was subsequently confirmed on a cerebrospinal fluid analysis. The patient recovered successfully after receiving emergency endoscopic drainage and antibiotic therapy. This case demonstrates that a disturbance of consciousness complicated by acute cholangitis may result from septic encephalopathy as well as meningitis via bloodstream infections.
authors.affiliation: Department of Gastroenterology, Yuri Kumiai General Hospital, Japan.
authors.forename: Kenjiro
authors.initials: K
authors.lastname: Yamamoto
authors.forename: Takuji
authors.initials: T
authors.lastname: Gotoda
authors.forename: Chika
authors.initials: C
authors.lastname: Kusano
authors.forename: Jiajia
authors.initials: J
authors.lastname: Liu
authors.forename: Tsuneo
authors.initials: T
authors.lastname: Yasuda
authors.forename: Takao
authors.initials: T
authors.lastname: Itoi
authors.forename: Fuminori
authors.initials: F
authors.lastname: Moriyasu
mesh_terms: D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D002761:Cholangitis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D004322:Drainage / Q000379:methods*; D034381:Hearing Loss / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008875:Middle Aged; D010808:Physical Examination; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents