1. Helicobacter bilis-Associated Suppurative Cholangitis in a Patient with X-Linked Agammaglobulinemia
- Author
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Agnès Ferroni, Justine Dautremer, Nicolas Degand, Julie Bruneau, Fanny Lanternier, Marc Lecuit, Olivier Hermine, Olivier Lortholary, Stéphane Blanche, Benoit Pilmis, Xavier Nassif, Laboratoire de Microbiologie [AP-HP Necker], Université Paris Descartes - Paris 5 (UPD5)-CHU Necker - Enfants Malades [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service des Maladies infectieuses et tropicales [CHU Necker], CHU Necker - Enfants Malades [AP-HP], Centre d'infectiologie Necker-Pasteur [CHU Necker], Institut Pasteur [Paris]-CHU Necker - Enfants Malades [AP-HP], Service d'AnatomoPathologie, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-CHU Necker - Enfants Malades [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Service d'Hématologie Adulte, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Necker - Enfants Malades [AP-HP], Université Paris Descartes - Paris 5 (UPD5), Service d'immuno-hématologie pédiatrique [CHU Necker], We thank Agnès Labigne, Unité de Pathogénie bactérienne des muqueuses, Institut Pasteur, Paris, France, for her help in this case report., Université Paris Descartes - Paris 5 (UPD5)-CHU Necker - Enfants Malades [AP-HP]-Institut des Maladies Génétiques Imagine [Paris], Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Université Paris Descartes - Paris 5 (UPD5)-CHU Necker - Enfants Malades [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-CHU Necker - Enfants Malades [AP-HP], and Institut Pasteur [Paris] (IP)-CHU Necker - Enfants Malades [AP-HP]
- Subjects
0301 basic medicine ,Male ,MESH: Helicobacter Infections/pathology ,MESH: Agammaglobulinemia/pathology ,[SDV]Life Sciences [q-bio] ,Azithromycin ,Bruton’s disease ,Gastroenterology ,Medical microbiology ,[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases ,Helicobacter ,Immunology and Allergy ,MESH: Anti-Bacterial Agents/therapeutic use ,MESH: Agammaglobulinemia/drug therapy ,MESH: Genetic Diseases, X-Linked/pathology ,medicine.diagnostic_test ,biology ,MESH: Helicobacter Infections/drug therapy ,Suppurative cholangitis ,Genetic Diseases, X-Linked ,3. Good health ,Anti-Bacterial Agents ,cholangitis ,[SDV.MP]Life Sciences [q-bio]/Microbiology and Parasitology ,Liver ,MESH: Young Adult ,Liver biopsy ,[SDV.IMM]Life Sciences [q-bio]/Immunology ,medicine.drug ,Helicobacter bilis ,DNA, Bacterial ,medicine.medical_specialty ,030106 microbiology ,Immunology ,MESH: Genetic Diseases, X-Linked/drug therapy ,DNA, Ribosomal ,Helicobacter Infections ,MESH: Liver/pathology ,03 medical and health sciences ,Young Adult ,MESH: Helicobacter/genetics ,Internal medicine ,medicine ,MESH: Helicobacter Infections/microbiology ,Humans ,Colitis ,MESH: DNA, Ribosomal/genetics ,MESH: Humans ,business.industry ,MESH: Agammaglobulinemia/microbiology ,MESH: Genetic Diseases, X-Linked/microbiology ,biology.organism_classification ,medicine.disease ,[SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology ,MESH: Male ,MESH: DNA, Bacterial/genetics ,agammaglobulinemia ,Metronidazole ,MESH: Cholangitis/pathology ,030104 developmental biology ,MESH: Cholangitis/drug therapy ,business ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology ,MESH: Cholangitis/microbiology - Abstract
International audience; Helicobacter bilis is a commensal bacterium causing chronic hepatitis and colitis in mice. In humans, enterohepatic Helicobacter spp. are associated with chronic hepatobiliary diseases. Purpose : We aimed at understanding the microbial etiology in a patient with X-linked agammaglobulinemia presenting with suppurative cholangitis. Methods : 16S rDNA PCR directly performed on a liver biopsy retrieved DNA of H. bilis. Results : Clinical outcome resulted in the normalization of clinical and biological parameters under antibiotic treatment by a combination of ceftriaxone, metronidazole, and doxycyclin followed by a 2-week treatment with moxifloxacin and a 2-month treatment with azithromycin. Conclusion : In conclusion, these data suggest a specific clinical and microbiological approach in patients with humoral deficiency in order to detect H. bilis hepatobiliary diseases.
- Published
- 2017