Evidence map›Paper›PMID 41037069›Full record

ArticleClinical journal of gastroenterology2025

Extra-intestinal Edwardsiella tarda infection presenting as sequential cholecystitis and cholangitis: a case report.

Keigo Yoshimura, Yuki Yamashita, Takefumi Kimura, Yusuke Oka, Yoshiki Ozawa, Shohei Kondo, Koujiro Tokutake, Tetsuya Ito, Hiromitsu Mori, Shuichi Wada

Abstract readCase Reports
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In one paragraph

Article in Clinical journal of gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Keigo YoshimuraDepartment of Gastroenterology, Nagano Red Cross Hospital, 5-22-1 Wakasato, Nagano, Nagano, 380-8582, Japan.
Yuki YamashitaDepartment of Gastroenterology, Nagano Red Cross Hospital, 5-22-1 Wakasato, Nagano, Nagano, 380-8582, Japan. yukiyama@shinshu-u.ac.jp.ORCID http://orcid.org/0000-0002-0162-4208
Takefumi KimuraDivision of Gastroenterology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan.
Yusuke OkaDepartment of Gastroenterology, Nagano Red Cross Hospital, 5-22-1 Wakasato, Nagano, Nagano, 380-8582, Japan.
Yoshiki OzawaDepartment of Gastroenterology, Nagano Red Cross Hospital, 5-22-1 Wakasato, Nagano, Nagano, 380-8582, Japan.
Shohei KondoDepartment of Gastroenterology, Nagano Red Cross Hospital, 5-22-1 Wakasato, Nagano, Nagano, 380-8582, Japan.
Koujiro TokutakeDepartment of Gastroenterology, Nagano Red Cross Hospital, 5-22-1 Wakasato, Nagano, Nagano, 380-8582, Japan.
Tetsuya ItoDepartment of Gastroenterology, Nagano Red Cross Hospital, 5-22-1 Wakasato, Nagano, Nagano, 380-8582, Japan.
Hiromitsu MoriDepartment of Gastroenterology, Nagano Red Cross Hospital, 5-22-1 Wakasato, Nagano, Nagano, 380-8582, Japan.
Shuichi WadaDepartment of Gastroenterology, Nagano Red Cross Hospital, 5-22-1 Wakasato, Nagano, Nagano, 380-8582, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEdwardsiella tarda (E. tarda) is a rare human pathogen. Extra-intestinal infections of E. tarda are particularly uncommon, with only one case of recurrent cholangitis caused by E. tarda reported to date. CASE PRESENTATION: A 77-year-old man suffered acute calculous cholecystitis 5 days after eating eel and raw fish. Culture results from bile obtained via percutaneous gallbladder drainage revealed E. tarda infection, and an 8-day course of intravenous cefmetazole led to clinical resolution. However, the patient returned with fever and laboratory signs of obstructive cholangitis 5 weeks later. Contrast-enhanced computed tomography showed a migrated gallstone in the distal common bile duct. Endoscopic retrograde cholangiopancreatography drained the purulent bile, and cultures from the bile and blood were again positive for E. tarda. A 10-day course of cefmetazole, along with biliary stent placement resulted in complete recovery.

conclusionE. tarda can cause relapsing biliary tract infections despite appropriate initial treatment. Clinicians should consider this rare pathogen in cases of recurrent cholangitis, especially for patients with recent consumption of raw or undercooked aquatic animals. A detailed dietary history and targeted microbiological testing are essential for accurate diagnosis and management.

Indexed as

CholangitisCholecystitisEdwardsiella tardaEnterobacteriaceae InfectionsAgedAnimalsAnti-Bacterial AgentsCholangiopancreatography, Endoscopic RetrogradeHumansMaleAnti-Bacterial AgentsCholecystitisEdwardsiella tardaRecurrent cholangitis

Identifiers

PMID41037069

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.