Nishikawa M, Hamanaka Y, Suzuki T
Nihon Geka Hokan. 1989 Jan 1;58(1):155-61.
A case report is presented of a 73-year-old male who was seen with fever, jaundice, abdominal pain and central nervous system depression. He failed to respond to intensive antibiotic therapy, and subsequently acute obstructive suppurative cholangitis fully developed. Upon laparotomy, the patient's gallbladder was found to be enlarged with the bile from the gallbladder and bile duct itself containing a high pus content. Its cultured organism revealed non-0-1 Vibrio cholerae. To our knowledge, no prior case of acute obstructive suppurative cholangitis in a non-0-1 Vibrio Cholerae biliary carrier has been reported in Japan.
本文报告了一例73岁男性患者，其出现发热、黄疸、腹痛和中枢神经系统抑制症状。强化抗生素治疗对其无效，随后急性梗阻性化脓性胆管炎全面发展。剖腹探查时发现患者胆囊增大，胆囊和胆管内胆汁的脓液含量很高。培养出的病原体为非01群霍乱弧菌。据我们所知，日本此前尚无关于非01群霍乱弧菌胆道携带者发生急性梗阻性化脓性胆管炎的病例报道。
