Disseminated infection associated with corticosteroid therapy after transduodenal sphincteroplasty.

Abstract

Treatment with oral prednisolone appears to have precipitated an episode of ascending cholangitis in an asymptomatic 55-year-old patient. He had undergone a Pólya partial gastrectomy, a cholecystectomy and a sphincteroplasty 19, 6 and 2 years earlier, respectively. The cholangitis was complicated by septicaemia with six different enteric organisms including aerobes and anaerobes. He developed liver and lung abscesses, and an indolent Pseudomonas aeruginosa septic arthritis of both hip joints. The patient eventually made a complete recovery, but required surgical replacement of both hips.

• Authors: B K Sharma, R E Pounder, R M Kirk, P Noone, D W Wilson
• Journal: The Journal of infection (J Infect) Vol. 10 Issue 1 Pg. 60-4 (Jan 1985) ISSN: 0163-4453 [Print] England
• PMID: 3981027 (Publication Type: Case Reports, Journal Article)

Chemical References

• Prednisolone

Topics

• Ampulla of Vater (surgery)
• Cholangitis (etiology)
• Duodenum (surgery)
• Humans
• Male
• Middle Aged
• Postoperative Complications
• Prednisolone (adverse effects)
• Sepsis (etiology)
• Sphincter of Oddi (surgery)