and sepsis-infrequent complication of biliary drainage placement: A case report.

BACKGROUND

species are uncommon pathogens in biliary sepsis and cause substantial mortality in patients with impaired hepatobiliary function. Asia has the highest incidence of infection from , whereas cases in the west are rare.

CASE SUMMARY

We report the case of a 64-year-old woman with advanced pancreatic cancer and jaundice who manifested fever, abdominal pain, severe thrombocytopenia, anemia and kidney failure following the insertion of a percutaneous transhepatic biliary drainage. Blood culture results revealed the presence of (). After antibiotic therapy and transfusions, the life-threatening clinical conditions of the patient improved and she was discharged.

CONCLUSION

This was a rare case of infection, probably the first to be reported in West countries, caused by following biliary drainage. A finding of must alert clinician to the possibility of severe sepsis.