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

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.

journal_name

Indian J Med Microbiol

authors

Sonavane A,Baradkar V,Salunkhe P,D'Souza D,Kumar S

doi

10.4103/0255-0857.58735

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

64-7

issue

1

eissn

0255-0857

issn

1998-3646

pii

IndianJMedMicrobiol_2010_28_1_64_58735

journal_volume

28

pub_type

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