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Kluyvera ascorbata Bacteremia after Cyst Excision for Choledochal Cyst
Jun Haeng Lee, M.D., Jong Kyun Lee, M.D., Nam Yong Lee, M.D.* Yong Il Kim, M.D.*, Hyuk Lee, M.D., Won Hyeok Choe, M.D.,Poong Lyul Rhee, M.D., Jae J. Kim, M.D., Seung Woon Paik, M.D.,Jong Chul Rhee, M.D. and Kyoo Wan Choi, M.D.
Division of Gastroenterology Department of Internal Medicine, Department of Clinical Pathology*, and Department of General Surgery*, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Vol.32 Num.6 (p452~455)
Kluyvera ascorbata, a new species in the family Enterobacteriaceae, has been rarely isolated from environmental and clinical specimens. It is a potentially dangerous pathogen that can cause serious infection of various organs. Recently, we treated a 32-year old woman, who developed cholangitis about 3 years after excisional operation for type IVa choledochal cyst. K. ascorbata was recovered from her blood. Empirical antibiotic treatment with intravenous ceftriaxone for 7 days followed by oral ciprofloxacin for 5 days was successful. This is the first well-documented case of bacteremia due to K. ascorbata cholangitis in the world.
Keywords : Cholangitis, Bacteremia, Kluyvera ascorbata