The authors discuss the case of a 3 year-old boy hospitalized with high fever and abdominal pain in the right flank and hypocondrium, associated to a pharynx congestion. Laboratory data showed leukocytosis with neutrophilia and moderate inflammatory syndrome. Largespectrum antibiotherapy caused a rapid disappearance of clinical symptoms, however the echography evidences a characteristic image of an acute acalculous cholecystitis. Revaluation of the hepatic function shows an important cytolysis associated with cholestasis and negative viral markers. Pharyngian exudate shows the presence of a hemolytic group A streptococcus. The association of hepatoprotectors and parenteral nutrition was followed by a rapid decrease of the biological parameters and normalization within twelve days. The clinical, imagistic, laboratory and evolutive elements led to a diagnosis of acute acalculous cholecystitis associated with cytolysis in association with streptococcal angina.
Keywords:- acalculous cholecystitis
- echography.
- streptococcus