Infectious Disease Online
Salmonella typhi, Campylobacter jejuni,
Escherichia coli Infection
Tuberculosis have all been found in the
been found in up to 10% of cholecystectomy specimens but in our
experience this really not at all common.
Fungi would be expected more
commonly in debilitated or immunosuppressed patients and the fungi in
question would be Candida.
These may give rise to granulomatous
cholecystitis so it is usually worth checking for fungi and acid and
alcohol fast bacilli in any granulomatous cholecystitis.
may cause obstruction of the cystic duct by enlargement of mucosal
This is seen mainly following orthotopic liver transplantation.
Protozoal infections are unusual.
They include Giardia lamblia and cryptosporidium usually in immune
Typhoid carriers ‘harbor’ living Salmonella typhi in their gallbladder
and their gallstones The organisms are discharged into the alimentary
tract from time to time, and are present in the feces.
These cases are potential danger to the community.
Typhoid fever ;
Salmonellosis (Gastroenteritis and Septicemia)
detected in the gallbladder:
Platyhelminths - Fasciola hepatica , Paragominus
westermani and ascaris lumbricoides, along with Chlonorchis sinensis
have been identified but are rare.
Fascioliasis and Fasciolopsiasis
Echinococcosis (Hydatid Disease).
disease is usually seen in the common bile duct as a result of rupture
of a hydatid cyst within the liver.
More worms are encountered within
the biliary system than are seen in the gall bladder itself.