BMJ Case Reports 2014; doi:10.1136/bcr-2013-201185

Sarcina infection

  1. Kim Vaiphei
  1. Department of Histopathology, PGIMER, Chandigarh, India
  1. Correspondence to Professor Kim Vaiphei, kvaiphei2009{at}


A 50-year-old man, a chronic alcoholic with hepatitis C virus positive status, presented with jaundice and right upper quadrant pain for 2 months. He had a history of taking antitubercular drugs for 2 years. General physical examination revealed icterus; systemic examinations were within the normal limits. His bilirubin level was 6.95 mg/dL, alkaline phosphatase 1720 U/L and rest of liver function test parameters were within the normal limits. Ultrasonography examination of the abdomen showed mild splenomegaly and haepatomegaly, gallbladder with biliary sludge, dilated intrahepatic biliary radical (IHBRD) and mural thickening in the pyloric region. Magnetic resonance computerised …

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