Bacteriological studies of liver parenchyma in controls and in patients with gallstones or common bile duct stones with or without acute cholangitis

The presence of aerobic and/or anaerobic bacteria in the liver parenchyma, gallbladder bile, and common bile duct was investigated. There were 15 control subjects, 32 cases with symptomatic gallstones, 16 patients with common bile duct stones without acute cholangitis and 8 cases with common bile du...

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Bibliographic Details
Published inHepato-gastroenterology Vol. 42; no. 6; p. 821
Main Authors Csendes, A, Hurdiles, P, Diaz, J C, Maluenda, F, Ferrario, M, Compan, A
Format Journal Article
LanguageEnglish
Published Greece 01.11.1995
Subjects
Acute Disease
Aged
Bacteria, Aerobic - isolation & purification
Bacteria, Anaerobic - isolation & purification
Bile - microbiology
Case-Control Studies
Cholangitis - microbiology
Cholelithiasis - microbiology
Female
Gallstones - microbiology
Humans
Incidence
Liver - microbiology
Male
Middle Aged
Prospective Studies
Specimen Handling
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Summary:The presence of aerobic and/or anaerobic bacteria in the liver parenchyma, gallbladder bile, and common bile duct was investigated. There were 15 control subjects, 32 cases with symptomatic gallstones, 16 patients with common bile duct stones without acute cholangitis and 8 cases with common bile duct stones with an acute suppurative cholangitis. No bacteria were isolated in controls. The percentage of positive cultures in liver parenchyma increased in proportion to the severity of the biliary tract disease. There was no clear correlation between normal and altered hepatic histology and the presence or absence of bacteria except in patients with acute cholangitis. When biliary tract obstruction is present, the biliary tract is more vulnerable to invasion of bacteria and therefore increases the chance of spread into the liver parenchyma.
ISSN:0172-6390