Spontaneous Bacterial Peritonitis with Sepsis Caused by Enterococcus hirae

Selective intestinal decontamination (SID) with norfloxacin has been widely used for the prophylaxis of spontaneous bacterial peritonitis (SBP) because of a high recurrence rate and preventive effect of SID for SBP. However, it does select resistant gut flora and may lead to SBP caused by unusual pa...

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Detalles Bibliográficos
Autores principales: Sim, Jong Seop, Kim, Hyoung Su, Oh, Ki Jong, Park, Myung Soo, Jung, Eun Ju, Jung, Youn Joo, Kang, Dae Gil, Seo, Seung In, Kim, Won Jin, Jang, Myoung Kuk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Medical Sciences 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3524446/
https://www.ncbi.nlm.nih.gov/pubmed/23255866
http://dx.doi.org/10.3346/jkms.2012.27.12.1598
Descripción
Sumario:Selective intestinal decontamination (SID) with norfloxacin has been widely used for the prophylaxis of spontaneous bacterial peritonitis (SBP) because of a high recurrence rate and preventive effect of SID for SBP. However, it does select resistant gut flora and may lead to SBP caused by unusual pathogens such as quinolone-resistant gram-negative bacilli or gram-positive cocci. Enterococcus hirae is known to cause infections mainly in animals, but is rarely encountered in humans. We report the first case of SBP by E. hirae in a cirrhotic patient who have previously received an oral administration of norfloxacin against SBP caused by Klebsiella pneumoniae and presented in septic shock.

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