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Postcholecystectomy surgical site infection by Salmonella enterica var. Weltevreden

Rangaiahagari Ashok1, Kancharla Anuradha, Vemu Lakshmi

  • 1Department of Microbiology, Nizam's Institute of Medical Sciences, Hyderabad, Andhra Pradesh, India.

Surgical Infections
|January 26, 2006
PubMed
Abstract

Insights

Surgical site infections (SSI) are common after gastrointestinal surgery. A rare case of Salmonella enterica var. Weltevreden causing SSI after cholecystectomy highlights the risk of bile spillage and guides targeted antibiotic therapy.

Area of Science:

  • Infectious Diseases
  • Surgical Infections
  • Microbiology

Background:

  • Surgical site infections (SSI) represent a significant complication in gastrointestinal surgery.
  • Enteric pathogens are frequently implicated as the causative agents of SSIs.

Observation:

  • A rare case of SSI following cholecystectomy and common bile duct exploration was caused by Salmonella enterica var. Weltevreden.
  • Bile spillage during the surgical procedure was identified as the source of contamination.

Findings:

  • The isolated Salmonella enterica var. Weltevreden demonstrated sensitivity exclusively to imipenem.
  • Intravenous administration of imipenem resulted in the patient's recovery.

Implications:

  • Cholecystectomy involving bile spillage is a recognized risk factor for developing SSIs.
  • Identifying rare pathogens like Salmonella enterica var. Weltevreden from bile and surgical sites is crucial for effective, targeted antibiotic treatment.

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