Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 28, 2021; 27(8): 751-759
Published online Feb 28, 2021. doi: 10.3748/wjg.v27.i8.751
Septic shock due to Granulicatella adiacens after endoscopic ultrasound-guided biopsy of a splenic mass: A case report
Seo-Yeon Cho, Eunae Cho, Chang-Hwan Park, Hee-Joon Kim, Joo-Yeon Koo
Seo-Yeon Cho, Eunae Cho, Chang-Hwan Park, Division of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital, Gwangju 61469, South Korea
Hee-Joon Kim, Department of Surgery, Chonnam National University Hospital, Gwangju 61469, South Korea
Joo-Yeon Koo, Department of Pathology, Chonnam National University Hospital, Gwangju 61469, South Korea
Author contributions: Cho SY contributed to analysis and interpretation of the data and drafting of the article; Park CH, Kim HJ and Koo JY contributed to technical and material support; Cho E contributed to critical revision and final approval of this article.
Informed consent statement: The study participant provided informed consent for this manuscript and its publication.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Eunae Cho, MD, Associate Professor, Division of Gastroenterology, Department of Internal Medicine, Chonnam National University Hospital, 42 Jebong-ro, Donggu, Gwangju 61469, South Korea. cea202@cnuh.com
Received: November 23, 2020
Peer-review started: November 23, 2020
First decision: December 21, 2020
Revised: January 18, 2021
Accepted: February 11, 2021
Article in press: February 11, 2021
Published online: February 28, 2021
Processing time: 94 Days and 2.9 Hours
Core Tip

Core Tip: As the risk of infection after endoscopic ultrasound (EUS)-guided sampling of a solid organ is very low, prophylactic antibiotics are generally not recommended. However, our patient developed an abscess after EUS-guided fine needle biopsy of a splenic tumor. To the best of our knowledge, this is the first case of septic shock after EUS-guided fine needle biopsy of a splenic large B cell lymphoma and of an infection caused by Granulicatella adiacens during this procedure. Therefore, we suggest considering prophylactic antibiotic usage for EUS-guided sampling of splenic tumors.