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Acute cholangitis due to Micrococcus lylae: First case report
O Abdesselami1,2, A Saddari1,2, S Ezrari1
1Laboratory of Microbiology. Faculty of Medicine and Pharmacy (University Mohammed the First), Oujda, Morocco.
Idcases
|September 2, 2024
Summary
This case report details a rare cholangitis infection caused by Micrococcus lylae in a diabetic patient. Prompt diagnosis and treatment led to a full recovery, highlighting M. lylae as a potential pathogen.
Area of Science:
- Microbiology
- Infectious Diseases
- Gastroenterology
Background:
- Micrococcus lylae is an opportunistic Gram-positive bacterium.
- Infections caused by M. lylae are rare, with few reported cases.
- This study focuses on a unique case of cholangitis attributed to M. lylae.
Observation:
- A 69-year-old female with type 2 diabetes and prior cholecystectomy presented with acute cholangitis symptoms.
- Imaging revealed bile duct dilatation and stones.
- Endoscopic retrograde cholangiopancreatography (ERCP) was performed for diagnosis and treatment.
Findings:
- Microbiological examination of bile fluid exclusively identified Micrococcus lylae.
- The patient received empirical antibiotics, followed by targeted therapy.
- Clinical improvement was observed with normalization of inflammatory markers.
Implications:
- This case highlights M. lylae as a causative agent of cholangitis.
- It underscores the importance of microbiological identification for guiding effective treatment.
- The successful management demonstrates a viable therapeutic approach for M. lylae-induced biliary infections.
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