Pancreatic abscess secondary to Alcaligenes faecalis

Mahi Lakshmi Ashwath, Harold P. Katner

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

We report a patient with pancreatic abscesses and necrosis secondary to Alcaligenes faecalis infection. He initially presented with alcohol-induced acute pancreatitis. Twenty days after the initial presentation, he re-presented with increasing pain and was found to have pancreatic necrosis and abscesses. Treatment was initiated with meropenem. Because of persistent fevers, computed tomography-guided drainage was performed. The fluid grew A faecalis resistant to meropenem and the patient continued to be febrile. He recovered only after adequate surgical intervention and appropriate antibiotic coverage. Although this is the first case of A faecalis reported to cause pancreatic abscess, we believe selection of this organism occurred because surgical drainage was delayed while the patient was on the recommended treatment with meropenem. This case emphasizes the need for early surgical drainage of pancreatic abscesses to avoid the selection of such resistant pathogens.

Original languageEnglish (US)
Pages (from-to)54-55
Number of pages2
JournalAmerican Journal of the Medical Sciences
Volume329
Issue number1
DOIs
StatePublished - Jan 2005
Externally publishedYes

Keywords

  • Abscesses
  • Alcaligenes faecalis
  • Pancreatic necrosis

ASJC Scopus subject areas

  • General Medicine

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