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Paeniclostridium sordellii causing liver abscess: A rare case report in India
Srestha Mitra1, Jai Bhagwan1, Ashish William1
1Department of Microbiology, Maulana Azad Medical College & Associated Lok Nayak Hospital, New Delhi, India.
Abstract:
Paeniclostridium sordellii, an anaerobic bacterium, causes hepatic infections in alcoholics and post-surgery (liver transplantation). While liver and brain abscesses are rare, drainage procedures and targeted antibiotic therapy assisted by early microbiological diagnosis have reduced mortality rates. We report a rare case of pyogenic liver abscess caused by Paeniclostridium sordellii in India, the early diagnosis of which has led to life saving outcome for the patient. Hence, the microbiological diagnosis and comprehensive medical-surgical treatment are vital for preventing mortality in Paeniclostridium sordellii infections.
Insights
Paeniclostridium sordellii, a rare anaerobic bacterium, can cause severe liver infections. Early diagnosis and prompt treatment, including drainage and antibiotics, are crucial for survival in patients with pyogenic liver abscesses.
Area of Science:
- Microbiology
- Infectious Diseases
- Hepatology
Background:
- Paeniclostridium sordellii is an anaerobic bacterium known to cause hepatic infections, particularly in alcoholics and post-liver transplantation patients.
- Liver and brain abscesses due to this bacterium are uncommon but can be serious complications.
Observation:
- A rare case of pyogenic liver abscess caused by Paeniclostridium sordellii was identified in India.
- The patient's condition required prompt medical and surgical intervention.
Findings:
- Early and accurate microbiological diagnosis was key to identifying Paeniclostridium sordellii as the causative agent.
- The successful management involved a combination of drainage procedures and targeted antibiotic therapy.
Implications:
- This case highlights the importance of timely and precise microbiological diagnosis in managing rare bacterial infections.
- Comprehensive medical-surgical treatment strategies are vital for reducing mortality associated with Paeniclostridium sordellii infections.
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