Infectious Disease Compendium

Bilophilia

Microbiology

Anaerobic gram-negative rod. Bilophila Wadsworthia.

Epidemiologic Risks

Bowel bug.  Its name means bile loving, so you can get a hint as to its preferred ecological niche. Also found in the periodontal pockets of dogs, hardly a surprise for an animal that licks its butt. 

Syndromes

Found in mixed infections in all parts of the body and intra-abdominal abscesses, often appendicitis.

Treatment

Metronidazole (most reliable), carbapenems, penicillin/beta-lactamase inhibitors, clindamycin (some resistance). Usually beta-lactamase positive.

Notes

Last update: 01/27/20