A fatal case of persistent bacteremia and acute cholecystitis caused by Staphylococcus aureus: A case report
Yoshiro Hadano,
Toshiyuki Hijikata
Affiliations
Yoshiro Hadano
Division of Infection Control and Prevention, Shimane University Hospital, Izumo, Shimane, Japan; Antimicrobial stewardship team, Itabashi Chuo Medical Center, Itabashi-ku, Tokyo, Japan; Correspondence to: Division of Infection Control and Prevention, Shimane University Hospital, 89–1 Enyacho, Izumo, Shimane 693–8501, Japan.
Toshiyuki Hijikata
Hino-minnano-clinic, Hino, Tokyo, Japan; Department of Emergency Medicine, Itabashi Chuo Medical Center, Itabashi-ku, Tokyo, Japan; Department of Health Data Science, Graduate School of Data Science, Yokohama City University, Kanagawa, Japan
Biliary tract infections caused by Staphylococcus aureus are rare. Here, we describe a case of fatal acute cholecystitis and persistent bacteremia caused by S. aureus in a patient with newly diagnosed diabetes mellitus. Staphylococcus aureus can cause bacteremic biliary tract infections, which are associated with higher mortality rates compared to biliary Klebsiella pneumoniae bacteremia. Early aggressive treatment and consultations with infectious disease specialists are recommended when biliary S. aureus bacteremia is clinically suspected.