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©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 26, 2019; 7(6): 759-764
Published online Mar 26, 2019. doi: 10.12998/wjcc.v7.i6.759
Published online Mar 26, 2019. doi: 10.12998/wjcc.v7.i6.759
Aeromonas veronii biovar veronii and sepsis-infrequent complication of biliary drainage placement: A case report
Manlio Monti, Giulia Bartolini, Chiara Casadei, Giovanni Luca Frassineti, Department of Medical Oncology, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola 47014, Italy
Arianna Torri, Unit of Microbiology, Wide Catchment Area of Romagna Laboratory, Cesena 47522, Italy
Elena Amadori, Alice Rossi, Radiology Unit, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola 47014, Italy
Author contributions: Monti M conceived and designed the study; Amadori E, Rossi A and Bartolini G, Casadei C and Frassineti GL carried out the literature search; Torri A performed the blood cultures and carried out the antibiotic susceptibility test; Monti M wrote the first draft of the manuscript and the other authors contributed to finalizing the present version of the paper; all authors approved the manuscript for publication.
Informed consent statement: The study was carried out in accordance with the principles laid down in the Declaration of Helsinki. Ethics approval was not necessary for this work due to its design (Case Report). Written informed consent was obtained from the patient.
Conflict-of-interest statement: None of the authors has conflict of interest with this submission.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Manlio Monti, MD, Doctor, Department of Medical Oncology, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Via P. Maroncelli 40, Meldola 47014, Italy. manlio.monti@irst.emr.it
Telephone: +39-54-3739100 Fax: +39-54-3739151
Received: December 12, 2018
Peer-review started: December 12, 2018
First decision: January 5, 2019
Revised: January 21, 2019
Accepted: January 29, 2019
Article in press: January 30, 2019
Published online: March 26, 2019
Peer-review started: December 12, 2018
First decision: January 5, 2019
Revised: January 21, 2019
Accepted: January 29, 2019
Article in press: January 30, 2019
Published online: March 26, 2019
Core Tip
Core tip:Aeromonas infection is fairly infrequent, and cholangitis caused by this species represents around 3% of all cases of bile duct infection. The bacterium appears to have high incidence in Asia. The infection may have a dramatic presentation. Our case report describes one of the few cases of cholangitis by Aeromonas to be reported in Western countries and, in particular, the first to be attributed to Aeromonas veronii biovar veronii after the positioning of biliary drainage. Antibiotic prophylaxis should be considered a priori. The finding of an infection from Aeromonas should alert the clinician to the possibility of severe sepsis.