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Liver abscess due to Bacillus cereus: a case report
G Latsios1, C Petrogiannopoulos, G Hartzoulakis
12nd Department of Medicine, Hellenic Red Cross Hospital, Ambelokipi, Athens, Greece. glatsios@med.uoa.gr
Summary
A rare case of Bacillus cereus liver abscess ruptured into the peritoneum caused acute peritonitis in a 72-year-old woman. This organism is typically a food-borne pathogen causing gastroenteritis.
Area of Science:
- Microbiology
- Infectious Diseases
- Gastroenterology
Background:
- Bacillus cereus is a common food-borne pathogen.
- It typically causes self-limiting gastroenteritis.
- Liver abscesses are rarely associated with Bacillus cereus.
Observation:
- A 72-year-old woman presented with acute abdominal colic pain.
- Her condition rapidly deteriorated, showing signs of acute abdomen.
- Computed tomography revealed a 3 cm liver abscess.
Findings:
- Laparotomy confirmed a ruptured liver abscess.
- Bacillus cereus was isolated from the abscess pus.
- This is the first reported case of Bacillus cereus liver abscess.
Implications:
- This case expands the known clinical spectrum of Bacillus cereus infections.
- Highlights the importance of considering Bacillus cereus in liver abscess etiology.
- Suggests potential for invasive disease beyond gastroenteritis.