• J Mal Vascul · Feb 2010

    Case Reports

    [Septic pylephlebitis associated with Enterobacter cloacae septicemia].

    • T Amezyane, A Abouzahir, A El Kharrass, D Bassou, J Fatihi, S Hammi, F Mahassin, D Ghafir, and V Ohayon.
    • Service de médecine interne B, hôpital militaire d'instruction Mohammed V, Hay Ryad, Rabat, Maroc. amez.tao@yahoo.fr
    • J Mal Vascul. 2010 Feb 1; 35 (1): 31-4.

    AbstractSeptic pylephlebitis or purulent thrombosis of the portal venous system generally results from a progressive extension of suppurated thrombophlebitis, secondary to an intrabdominal infection. Germs most often found are Escherichia coli and Streptococcus, isolation of Enterobacter cloacae is unusual. We report a particular observation of septic pylephlebitis associated with E. cloacae bacteremia, without biliary, digestive or pancreatic lesion on the CT-scan. The antibiotic sensitivity pattern of the isolated germ and the negative epidemiologic investigation pled in favour of community acquired infection. The infection resolved with antibiotics and anticoagulation, followed by total repermeation of the portal system.Copyright 2009 Elsevier Masson SAS. All rights reserved.

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