Septicemia From Biliary Tract Infection

Yardena Siegman Igra, David Schwartz, Nissim Konforti, Chaim Perluk, Roland R. Rozin

Research output: Contribution to journalArticlepeer-review

Abstract

One hundred four strains of microorganisms were isolated from the blood in 76 episodes of septicemia originating from biliary tract infection. The 70 patients involved included 40 with acute cholecystitis without previous surgery, 17 with cholangitis following previous surgery, and 13 patients with malignant disease, with or without previous surgery. The most common organisms were Escherichia coli, Klebsiella, Streptococcus, and Proteus. Various streptococci, most of them from group D, were involved in 21% of the episodes. Twentyfive patients underwent surgery following the bacteremia. In ten of 12 operations performed shortly after the septicemia, bile culture yielded the same organism(s) as in the blood. The types of organisms in blood, and especially the important role of streptococci, must be taken into consideration when choosing antibiotics for therapy for and prevention of biliary septicemia.

Original languageEnglish
Pages (from-to)366-368
Number of pages3
JournalArchives of Surgery
Volume123
Issue number3
DOIs
StatePublished - Mar 1988

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