A Case of Spontaneous Bacterial Peritonitis Caused by Listeria monocytogenes.
10.4166/kjg.2013.62.3.179
- Author:
Byung Sihk KIM
1
;
Tae Yeob KIM
;
Ji Yeoun KIM
;
Kyo Sang YOO
;
Yong Chul JEON
;
Dong Soo HAN
;
Joo Hyun SOHN
;
Jieun KIM
Author Information
1. Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea. ktydoc@hanyang.ac.kr
- Publication Type:Case Reports ; English Abstract
- Keywords:
Listeria monocytogenes;
Peritonitis;
Liver cirrhosis
- MeSH:
Ampicillin/therapeutic use;
Anti-Bacterial Agents/therapeutic use;
Ascites/microbiology;
Humans;
Listeria monocytogenes/*physiology;
Listeriosis/*diagnosis/drug therapy;
Liver Cirrhosis, Alcoholic/*diagnosis;
Male;
Middle Aged;
Peritonitis/*diagnosis/*microbiology
- From:The Korean Journal of Gastroenterology
2013;62(3):179-181
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spontaneous bacterial peritonitis (SBP) is a life-threatening complication in patients with ascites caused by advanced liver disease. While gram negative bacteria, such as Escherichia coli and Klebsiella pneumonia are the common pathogens, Listeria monocytogenes has been recognized as a very rare pathogen. Empirical treatment with third generation cephalosporins does not provide adequate antibiotics coverage against L. monocytogenes. Diagnosis is often delayed as it requires confirmation from ascitic fluid culture. Herein, we describe the first case of SBP caused by L. monocytogenes in a patient with advanced alcoholic liver cirrhosis in Korea. Clinicians should be aware of the atypical pathogens, especially in patients with inadequate response to empirical antibiotics.
