1.Unusual Primary Peritonitis due to Streptococcus pyogenes in a Young Healthy Woman.
Ji Yoon PARK ; Soo youn MOON ; Jun Seong SON ; Mi Suk LEE ; Min Hyung JUNG
Journal of Korean Medical Science 2012;27(5):553-555
We describe the first case of primary peritonitis in Korea of a healthy person due to Streptococcus pyogenes. In the absence of comorbid conditions, such as liver cirrhosis, immunosuppression, or nephrotic syndrome, primary peritonitis is uncommon in a young healthy woman. Abdomen computed tomography revealed ascites in the lower abdomen and peritoneal enhancement suggesting peritonitis. In diagnostic laparoscopy, purulent ascites was found in the pelvic cavity but both ovaries and fallopian tubes were intact. There were no intra-abdominal abnormalities such as bowel perforation, appendicitis, or necrosis. The reports of blood culture, ascites culture, and cervical swab culture confirmed S. pyogenes. After use of antibiotics, the patient was cured and discharged without sequelae.
Adult
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Anti-Bacterial Agents/therapeutic use
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Female
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Humans
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Laparoscopy
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Peritonitis/*diagnosis/drug therapy/microbiology
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Streptococcal Infections/*diagnosis/drug therapy/microbiology
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Streptococcus pyogenes/*isolation & purification
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Tomography, X-Ray Computed
2.Spontaneous Bacterial Peritonitis due to Ochrobactrum anthropi: A Case Report.
Yu Mi WI ; Kyung Mok SOHN ; Ji Young RHEE ; Won Sup OH ; Kyong Ran PECK ; Nam Young LEE ; Jae Hoon SONG
Journal of Korean Medical Science 2007;22(2):377-379
We report a case of spontaneous bacterial peritonitis from Ochrobactrum anthropi. O. anthropi is recognized as an emerging pathogen in immunocompromised patients. In contrast to most previously described cases, the patient reported here had no indwelling catheter. To our knowledge, no case of O. anthropi spontaneous bacterial peritonitis has been reported in the medical literature until now.
Treatment Outcome
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Rare Diseases/diagnosis/drug therapy/microbiology
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Peritonitis/*diagnosis/drug therapy/*microbiology
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Ochrobactrum anthropi/drug effects/*isolation & purification
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Middle Aged
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Male
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Humans
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Gram-Negative Bacterial Infections/*diagnosis/drug therapy/*microbiology
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Anti-Bacterial Agents/administration & dosage
3.A Case of Spontaneous Bacterial Peritonitis Caused by Listeria monocytogenes.
Byung Sihk KIM ; Tae Yeob KIM ; Ji Yeoun KIM ; Kyo Sang YOO ; Yong Chul JEON ; Dong Soo HAN ; Joo Hyun SOHN ; Jieun KIM
The Korean Journal of Gastroenterology 2013;62(3):179-181
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.
Ampicillin/therapeutic use
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Anti-Bacterial Agents/therapeutic use
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Ascites/microbiology
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Humans
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Listeria monocytogenes/*physiology
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Listeriosis/*diagnosis/drug therapy
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Liver Cirrhosis, Alcoholic/*diagnosis
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Male
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Middle Aged
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Peritonitis/*diagnosis/*microbiology
4.Spontaneous Bacterial Peritonitis with Sepsis Caused by Enterococcus hirae.
Jong Seop SIM ; 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
Journal of Korean Medical Science 2012;27(12):1598-1600
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.
Administration, Oral
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Ampicillin/therapeutic use
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Anti-Bacterial Agents/therapeutic use
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Ascitic Fluid/microbiology
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Enterococcus/*isolation & purification
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Gram-Positive Bacterial Infections/complications/drug therapy/*microbiology
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Humans
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Male
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Microbial Sensitivity Tests
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Middle Aged
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Peritonitis/*diagnosis/drug therapy/microbiology
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Sepsis/*etiology
5.A Case of Spontaneous Bacterial Peritonitis Following Argon Plasma Coagulation for Angiodysplasias in the Colon.
Hye Jin JUNG ; Soo Hyung RYU ; Kyoung Sik PARK ; Won Jae YOON ; Jin Nam KIM ; You Sun KIM ; Jeong Seop MOON
The Korean Journal of Gastroenterology 2014;64(2):115-118
Spontaneous bacterial peritonitis (SBP) is the most common infection in liver cirrhosis patients, and is not a result of surgery or intra abdominal infection. Argon plasma coagulation (APC) is an endoscopic procedure used with a high-frequency electrical current for control of bleeding from gastrointestinal vascular ectasias including angiodysplasia and gastric antral vascular ectasia. This procedure is known to be safe because it uses a noncontact method. Therefore, tissue injury is minimal and up to two to three millimeters. However, we experienced a case of SBP occurring immediately after performance of APC for control of severe bleeding from angiodysplasia in the colon in a patient with liver cirrhosis and hepatocellular carcinoma.
Aged
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Angiodysplasia/complications/*diagnosis
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Anti-Bacterial Agents/therapeutic use
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*Argon Plasma Coagulation
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Bacterial Infections/*diagnosis/drug therapy/microbiology
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Carcinoma, Hepatocellular/complications/diagnosis
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Colonic Diseases/complications/*diagnosis
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Colonoscopy
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Female
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Gastrointestinal Hemorrhage/therapy
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Gram-Negative Bacteria/isolation & purification
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Humans
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Liver Cirrhosis/complications/diagnosis
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Liver Neoplasms/complications/diagnosis
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Peritonitis/*diagnosis/drug therapy/microbiology
6.Pleural and pericardial empyema in a patient with continuous ambulatory peritoneal dialysis peritonitis.
Jong Hoon LEE ; Young Sun NOH ; Youn Hee LEE ; In Ae JANG ; Ho Chul SONG ; Euy Jin CHOI ; Yong Kyun KIM
The Korean Journal of Internal Medicine 2013;28(5):626-627
No abstract available.
Anti-Bacterial Agents/therapeutic use
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Cardiac Tamponade/etiology
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Drainage
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Empyema, Pleural/diagnosis/*etiology/microbiology/therapy
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Heart Diseases/diagnosis/*etiology/microbiology/therapy
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Humans
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Kidney Failure, Chronic/*therapy
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Male
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Methicillin-Resistant Staphylococcus aureus/isolation & purification
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Middle Aged
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Pericardial Effusion/etiology
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Pericardial Window Techniques
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Pericardiocentesis
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Peritoneal Dialysis, Continuous Ambulatory/*adverse effects
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Peritonitis/diagnosis/drug therapy/*etiology/microbiology
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Pleural Effusion/etiology
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Staphylococcal Infections/diagnosis/drug therapy/*etiology/microbiology
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Tomography, X-Ray Computed
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Treatment Outcome
7.A Case of Tuberculous Liver Abscess Developed during Chemotherapy for Tuberculous Peritonitis as Paradoxical Response.
Tae Kyung KIM ; Cheol Woong CHOI ; Jong Kun HA ; Hyung Ha JANG ; Su Bum PARK ; Hyung Wook KIM ; Dae Hwan KANG
The Korean Journal of Gastroenterology 2013;62(1):64-68
Tuberculous liver abscesses are rare. Paradoxical response in tuberculosis is common and occurred between 2 weeks and 12 weeks after anti-tuberculous medication. We report here a case of tuberculous liver abscess that developed in a paradoxical response during chemotherapy for tuberculous peritonitis in a 23-year-old male. He was hospitalized, complaining of ascites, epigastric pain. He was diagnosed tuberculous peritonitis by expiratory laparoscopic biopsy and took medication for tuberculosis. After 2 months, a hepatic lesion was detected with CT scan incidentally. Chronic granulomatous inflammation was seen in ultrasound-guided liver biopsy, and tuberculous liver abscess was diasnosed. It was considered as paradoxical response, rather than treatment failure or other else because clinical symptoms of peritoneal tuberculosis and CT scan improved. After continuing initial anti-tuberculous medication, he was successfully treated. Herein, we report a case of tuberculous liver abscess as paradoxical response while treating peritoneal tuberculosis without changing anti-tuberculous treatment regimen.
Antitubercular Agents/*adverse effects/*therapeutic use
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DNA, Bacterial/analysis
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Humans
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Laparoscopy
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Liver/pathology/ultrasonography
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Liver Abscess/*chemically induced/*diagnosis/microbiology
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Male
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Mycobacterium tuberculosis/genetics/isolation & purification
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Necrosis/pathology
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Peritoneum/pathology
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Peritonitis, Tuberculous/*drug therapy
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Tomography, X-Ray Computed
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Tuberculosis/*diagnosis/microbiology
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Young Adult
8.First Case of Continuous Ambulatory Peritoneal Dialysis-Related Peritonitis Caused by Cryptococcus arboriformis.
Hyungjun IM ; Jeong Don CHAE ; Minseok YOO ; So Young LEE ; Eun Ju SONG ; Su Ah SUNG ; Young Hwan HWANG ; Jeong Hwan SHIN ; Young Uk CHO
Annals of Laboratory Medicine 2014;34(4):328-331
No abstract available.
Amphotericin B/therapeutic use
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Antifungal Agents/pharmacology/therapeutic use
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Cryptococcosis/*diagnosis/drug therapy/microbiology
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Cryptococcus/classification/drug effects/*isolation & purification
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DNA, Ribosomal/chemistry/metabolism
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Fluconazole/therapeutic use
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Humans
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Male
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Microbial Sensitivity Tests
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Middle Aged
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Peritoneal Dialysis, Continuous Ambulatory
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Peritonitis/*diagnosis/etiology
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Phylogeny
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Saccharomyces cerevisiae/drug effects/isolation & purification
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Sequence Homology, Nucleic Acid
9.Predictive factors that influence the survival rates in liver cirrhosis patients with spontaneous bacterial peritonitis.
Pei Chuan TSUNG ; Soo Hyung RYU ; In Hye CHA ; Hee Won CHO ; Jin Nam KIM ; You Sun KIM ; Jeong Seop MOON
Clinical and Molecular Hepatology 2013;19(2):131-139
BACKGROUND/AIMS: Spontaneous bacterial peritonitis (SBP) has been known to greatly influence the survival rate of patients with liver cirrhosis. However, the factors that affect the survival rate in patients with SBP need to be clarified. METHODS: This study enrolled 95 liver cirrhosis patients diagnosed with SBP. The laboratory findings of their serum and ascitic fluid were examined and the characteristics of the isolated microorganisms in their peritoneal fluid were analyzed. RESULTS: The proportion of patients with culture-positive SBP was 41.1%, and 47 microorganisms were isolated from the ascitic fluid. The proportions of cultured bacteria that were Gram negative and Gram positive were 57.4% and 40.4%, respectively. The proportions of Escherichia coli, Klebsiella species, and Streptococcus species were 25.5%, 19.1%, and 19.1%, respectively. Enterococcus species represented 12.8% of the microorganisms cultured. The overall survival rates at 6, 12, and 24 months were 44.5%, 37.4%, and 32.2%, respectively. There was no relationship between the bacterial factors and the survival rate in SBP. Multivariate analysis revealed that the presence of hepatocellular carcinoma (HCC; P=0.001), higher serum bilirubin levels (> or =3 mg/dL, P=0.002), a prolonged serum prothrombin time (i.e., international normalized ratio >2.3, P<0.001), renal dysfunction (creatinine >1.3 mg/dL, P<0.001), and lower glucose levels in the ascitic fluid (<50 mg/dL, P<0.001) were independent predictive factors of overall survival rate. CONCLUSIONS: HCC, higher serum bilirubin levels, a prolonged serum prothrombin time, renal dysfunction, and lower ascitic glucose levels are associated with higher mortality rates in cirrhotic patients with SBP.
Adult
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Aged
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Anti-Bacterial Agents/therapeutic use
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Ascitic Fluid/metabolism/microbiology
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Bilirubin/blood
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Carcinoma, Hepatocellular/complications/diagnosis
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Creatinine/blood
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Female
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Glucose/analysis
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Gram-Negative Bacteria/isolation & purification
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Gram-Positive Bacteria/isolation & purification
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Humans
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Liver Cirrhosis/complications/*mortality
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Liver Neoplasms/complications/diagnosis
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Male
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Middle Aged
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Multivariate Analysis
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Odds Ratio
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Peritonitis/complications/*diagnosis/drug therapy
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Prognosis
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Prothrombin Time
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Survival Rate