Spontaneous Bacterial Peritonitis with Sepsis Caused by Enterococcus hirae.
10.3346/jkms.2012.27.12.1598
- Author:
Jong Seop SIM
1
;
Hyoung Su KIM
;
Ki Jong OH
;
Myung Soo PARK
;
Eun Ju JUNG
;
Youn Joo JUNG
;
Dae Gil KANG
;
Seung In SEO
;
Won Jin KIM
;
Myoung Kuk JANG
Author Information
1. Department of Internal Medicine, Kangdong Sacred Heart Hospital of Hallym University Medical Center, Seoul, Korea. hskim@hallym.or.kr
- Publication Type:Case Reports
- Keywords:
Enterococcus hirae;
Spontaneous Bacterial Peritonitis;
Sepsis;
Liver Cirrhosis
- MeSH:
Administration, Oral;
Ampicillin/therapeutic use;
Anti-Bacterial Agents/therapeutic use;
Ascitic Fluid/microbiology;
Enterococcus/*isolation & purification;
Gram-Positive Bacterial Infections/complications/drug therapy/*microbiology;
Humans;
Male;
Microbial Sensitivity Tests;
Middle Aged;
Peritonitis/*diagnosis/drug therapy/microbiology;
Sepsis/*etiology
- From:Journal of Korean Medical Science
2012;27(12):1598-1600
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
