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עמוד בית
Sat, 02.03.24

CASE COMMUNICATION

IMAJ | volume 25

Journal 1, January 2023
pages: 70-71

Between Clinical Intuition and Serendipity: An Unusual Case of Streptococcus Gordonii Cholecystitis

1 Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Israel 2 Departments of Infectious Disease, Shaare Zedek Medical Center, Jerusalem, Israel 3 Departments of Gastroenterology and Liver Diseases, Shaare Zedek Medical Center, Jerusalem, Israel 4 Departments of Nuclear Medicine, Shaare Zedek Medical Center, Jerusalem, Israel 5 Departments of Internal Medicine A, Shaare Zedek Medical Center, Jerusalem, Israel

Summary

Acute cholecystitis is a common surgical diagnosis. If not addressed properly, it can potentially lead to sepsis, perforation of the gallbladder, and even death.

The most frequent pathogens isolated from bile cultures of patients with cholecystitis are anaerobes and Enterbacterales such as E. coli, Klebsiella species, and Streptococcus species [1].

Streptococcus gordonii belongs to the Viridians streptococci group of oral bacteria and is commonly associated with dental caries. S. gordonii has been previously reported as the causative pathogen in both endocarditis and spondylodiskitis [2]. However, it has rarely been associated with biliary infections. In this report, we presented a patient diagnosed with cholecystitis associated with S. gordonii infection.

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