Acute necrotizing pancreatitis with pancreatic abscess due to Prevotella species in a diabetic.
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Date
2010-01
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Abstract
Acute pancreatitis occasionally presents as pancreatic abscess with complications like pleural effusion and ascites. There are several pre-disposing factors, the most common being cholelithiaisis, alcohol abuse, infective causes, trauma, and metabolic causes such as diabetic ketoacidosis, while some cases are idiopathic. Here, we report a rare case of acute necrotizing pancreatitis in a 40-year-old male who presented with pain in the abdomen, ascites and left basal pleural effusion. A computerized tomography (CT) scan showed findings suggestive of pancreatic necrosis, with abscess formation and free-fluid surrounding area. The aspirated pus sample was processed for Gram staining and culture, which yielded growth of Prevotella species in an anaerobic culture. Exploratory laparotomy was performed and intra-abdominal collection drained. Necrosectomy of the distal tail and body of the pancreas was performed. The patient was started on antibiotics and along with supportive treatment, responded well.
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Keywords
Diabetes, pancreatic abscess, Prevotella species
Citation
Sonavane A, Baradkar V, Salunkhe P, D'Souza D, Kumar S. Acute necrotizing pancreatitis with pancreatic abscess due to Prevotella species in a diabetic. Indian Journal of Medical Microbiology. 2010 Jan-Mar; 28(1): 64-67.