Abstract
We report a 48-year-old male admitted to hospital due to a severe alcoholic pancreatitis. At four weeks of evolution of the acute episode, an abdominal CAT scan showed a fluid collection of 20 cm diameter located in the pancreatic tail and 2 small collections in the head. The patient received several antimicrobials and during the seventh week of evolution, while receiving vancomycin, presented fever. A fine needle aspiration of the cyst revealed the presence of Haemophilus parainfluenzae biotype VIII. The patient was treated with amoxicillin-clavulanic acid and a laparoscopic cysto-gastrostomy, with a good clinical response.
Highlights
We report a 48-year-old male admitted to hospital due to a severe alcoholic pancreatitis
A fine needle aspiration of the cyst revealed the presence of Haemophilus parainfluenzae biotype VIII
En los últimos años en el procesamiento rutinario de las muestras de líquido biliar y abscesos intrabdominales muchos laboratorios de Microbiología incluyen medios como el agar chocolate, el cual permite identificar de una manera adecuada Haemophilus spp con el consecuente incremento en el número de aislamientos
Summary
We report a 48-year-old male admitted to hospital due to a severe alcoholic pancreatitis. El pseudoquiste pancreático aparece tras una pancreatitis aguda en 10% de los casos[1]. Presentamos el primer caso descrito en la literatura de un paciente con un pseudoquiste pancreático infectado por Haemophilus parainfluenzae.
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