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[Pancreatic pseudocyst infection caused by Haemophilus parainfluenzae. Report of one case]

Mariela Martín-Berra1, Vicente Navarro-López, Elia Sirvent

  • 1Servicio de Medicina Interna, Hospital de Torrevieja, Alicante, España. mbmartin@torrevieja-salud.com

Revista Medica De Chile
|July 21, 2011
PubMed

Insights

A rare case of pancreatic pseudocyst infected with Haemophilus parainfluenzae in a patient with alcoholic pancreatitis was successfully treated. The infection was identified via fine needle aspiration and managed with antibiotics and laparoscopic surgery.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Surgical Innovation

Background:

  • Severe alcoholic pancreatitis can lead to complications such as pancreatic pseudocysts.
  • Pancreatic pseudocysts are fluid collections that can become infected, posing significant treatment challenges.

Observation:

  • A 48-year-old male with severe alcoholic pancreatitis developed a large pancreatic pseudocyst.
  • Despite antimicrobial treatment, the patient developed fever, indicating a potential infection.
  • Fine needle aspiration of the pseudocyst revealed Haemophilus parainfluenzae biotype VIII.

Findings:

  • The patient received vancomycin, followed by amoxicillin-clavulanic acid.
  • A laparoscopic cysto-gastrostomy was performed for drainage.
  • The patient showed a good clinical response to the treatment regimen.

Implications:

  • This case highlights Haemophilus parainfluenzae as a potential pathogen in infected pancreatic pseudocysts.
  • Successful management involved a combination of targeted antibiotics and minimally invasive surgical intervention.
  • Early diagnosis and appropriate treatment are crucial for favorable outcomes in infected pancreatic pseudocysts.

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