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A Case of Notifiable Alithiatic Cholecystitis
Mariana Moniz Ramos1, Inês Ambrioso1, Frederica Ferreira1
1Internal Medicine, Hospital Distrital de Santarém, Santarém, PRT.
Acute cholecystitis, an uncommon gallbladder inflammation, can be caused by Listeria monocytogenes (LM) infection. This case highlights early recognition and treatment of Listeria-induced cholecystitis and bacteremia for better patient outcomes.
Area of Science:
- Infectious Diseases
- Gastroenterology
- Surgical Pathology
Background:
- Acute alithiatic cholecystitis is gallbladder inflammation without gallstones, often infectious.
- Listeriosis, caused by Listeria monocytogenes (LM), presents with bacteremia, meningitis, or gastroenteritis.
- Listeria-induced acute cholecystitis is rare, with limited documented cases.
Observation:
- A 65-year-old male presented with fever and altered consciousness.
- Diagnostic workup revealed bacteremia secondary to cholecystitis caused by Listeria monocytogenes.
- The patient had no history of gallstones.
Findings:
- Successful laparoscopic cholecystectomy was performed.
- Appropriate antibiotic therapy was administered.
- The patient recovered and was discharged within seven days.
Implications:
- This case underscores the importance of considering Listeria monocytogenes in acute cholecystitis, especially with bacteremia.
- Prompt diagnosis and management are critical for reducing morbidity and mortality in rare infectious cholecystitis cases.
- Highlights the need for vigilance in identifying uncommon pathogens in gallbladder infections.
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