TITLE

Acute necrotizing pancreatitis with pancreatitis abscess due to Prevotella species in a diabetic

AUTHOR(S)
Sonavane, A.; Baradkar, V.; Salunkhe, P.; D'Souza, D.; Kumar, S.
PUB. DATE
January 2010
SOURCE
Indian Journal of Medical Microbiology;Jan2010, Vol. 28 Issue 1, p64
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
Acute pancreatitis occasionally presents as pancreatic abscess with complications like pleural effusion and ascites. There are several pre-disposing factors, the most common being cholelithiaisis, alcohol abuse, infective causes, trauma, and metabolic causes such as diabetic ketoacidosis, while some cases are idiopathic. Here, we report a rare case of acute necrotizing pancreatitis in a 40-year-old male who presented with pain in the abdomen, ascites and left basal pleural effusion. A computerized tomography (CT) scan showed findings suggestive of pancreatic necrosis, with abscess formation and free-fluid surrounding area. The aspirated pus sample was processed for Gram staining and culture, which yielded growth of Prevotella species in an anaerobic culture. Exploratory laparotomy was performed and intra-abdominal collection drained. Necrosectomy of the distal tail and body of the pancreas was performed. The patient was started on antibiotics and along with supportive treatment, responded well.
ACCESSION #
47675404

 

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