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Sphingobacterium Spritivorum Associated With Spontaneous Bacterial Peritonitis in a Cirrhotic Patient With Gram-Positive Bacteremia

Sphingobacterium spritivorum (SS) is a ubiquitous gram-negative organism and an uncommon cause of infection in humans. To our knowledge, there are no reported cases of this bacterium causing spontaneous bacterial peritonitis (SBP) in patients with cirrhosis. In this report, we discuss a case of a ma...

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Detalles Bibliográficos
Autores principales: Echefu, Gift, Mahat, Rameela, Katragadda, Silpita, Reddy, Karthik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9289197/
https://www.ncbi.nlm.nih.gov/pubmed/35865420
http://dx.doi.org/10.7759/cureus.26053
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author Echefu, Gift
Mahat, Rameela
Katragadda, Silpita
Reddy, Karthik
author_facet Echefu, Gift
Mahat, Rameela
Katragadda, Silpita
Reddy, Karthik
author_sort Echefu, Gift
collection PubMed
description Sphingobacterium spritivorum (SS) is a ubiquitous gram-negative organism and an uncommon cause of infection in humans. To our knowledge, there are no reported cases of this bacterium causing spontaneous bacterial peritonitis (SBP) in patients with cirrhosis. In this report, we discuss a case of a male patient in his late 60s who presented with severe sepsis from methicillin-resistant staphylococcus aureus (MRSA), in whom SS was subsequently identified via ascitic fluid culture. This unusual organism is known to have an innate resistance to multiple antibiotics and can cause life-threatening sepsis in cases of delayed or missed diagnosis. Clinicians should not be weighed down by anchoring bias and look for alternative, uncommon gram-negative organisms in cases of progressive sepsis in patients with ascites.
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spelling pubmed-92891972022-07-20 Sphingobacterium Spritivorum Associated With Spontaneous Bacterial Peritonitis in a Cirrhotic Patient With Gram-Positive Bacteremia Echefu, Gift Mahat, Rameela Katragadda, Silpita Reddy, Karthik Cureus Internal Medicine Sphingobacterium spritivorum (SS) is a ubiquitous gram-negative organism and an uncommon cause of infection in humans. To our knowledge, there are no reported cases of this bacterium causing spontaneous bacterial peritonitis (SBP) in patients with cirrhosis. In this report, we discuss a case of a male patient in his late 60s who presented with severe sepsis from methicillin-resistant staphylococcus aureus (MRSA), in whom SS was subsequently identified via ascitic fluid culture. This unusual organism is known to have an innate resistance to multiple antibiotics and can cause life-threatening sepsis in cases of delayed or missed diagnosis. Clinicians should not be weighed down by anchoring bias and look for alternative, uncommon gram-negative organisms in cases of progressive sepsis in patients with ascites. Cureus 2022-06-17 /pmc/articles/PMC9289197/ /pubmed/35865420 http://dx.doi.org/10.7759/cureus.26053 Text en Copyright © 2022, Echefu et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Echefu, Gift
Mahat, Rameela
Katragadda, Silpita
Reddy, Karthik
Sphingobacterium Spritivorum Associated With Spontaneous Bacterial Peritonitis in a Cirrhotic Patient With Gram-Positive Bacteremia
title Sphingobacterium Spritivorum Associated With Spontaneous Bacterial Peritonitis in a Cirrhotic Patient With Gram-Positive Bacteremia
title_full Sphingobacterium Spritivorum Associated With Spontaneous Bacterial Peritonitis in a Cirrhotic Patient With Gram-Positive Bacteremia
title_fullStr Sphingobacterium Spritivorum Associated With Spontaneous Bacterial Peritonitis in a Cirrhotic Patient With Gram-Positive Bacteremia
title_full_unstemmed Sphingobacterium Spritivorum Associated With Spontaneous Bacterial Peritonitis in a Cirrhotic Patient With Gram-Positive Bacteremia
title_short Sphingobacterium Spritivorum Associated With Spontaneous Bacterial Peritonitis in a Cirrhotic Patient With Gram-Positive Bacteremia
title_sort sphingobacterium spritivorum associated with spontaneous bacterial peritonitis in a cirrhotic patient with gram-positive bacteremia
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9289197/
https://www.ncbi.nlm.nih.gov/pubmed/35865420
http://dx.doi.org/10.7759/cureus.26053
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