Pararenal Lymphatic Cyst Infection Caused by Helicobacter cinaedi

Intern Med. 2015;54(11):1437-40. doi: 10.2169/internalmedicine.54.3991. Epub 2015 Jun 1.

Abstract

A 43-year-old man was referred to our hospital for an acute-onset fever and left flank pain. He had been previously diagnosed with lymphangioma, and abdominal computed tomography showed pararenal cysts with fat stranding around the left kidney, of which infection was subsequently confirmed on magnetic resonance imaging. Gram-negative spiral bacilli were isolated from two sets of blood cultures, and Helicobacter cinaedi was identified using 16S rRNA sequencing. The patient was successfully treated with ceftriaxone therapy without recurrence. A multilocus sequence typing analysis indicated the current H. cinaedi strain differed from previous strains isolated in Japan.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Bacteremia / diagnosis*
  • Bacteremia / drug therapy
  • Bacteremia / microbiology
  • Ceftriaxone / therapeutic use
  • Helicobacter / genetics
  • Helicobacter / isolation & purification
  • Helicobacter Infections / diagnosis*
  • Helicobacter Infections / drug therapy
  • Helicobacter Infections / microbiology
  • Humans
  • Japan
  • Lymphocele / diagnosis*
  • Lymphocele / diagnostic imaging
  • Male
  • Multilocus Sequence Typing
  • RNA, Ribosomal, 16S / genetics
  • Radiography

Substances

  • RNA, Ribosomal, 16S
  • Ceftriaxone