Spontaneous bacterial peritonitis caused by Edwardsiella tarda: A case report
| Autor: | Hitoya Sano, Kimitosi Nishio, Yusuke Murase, Hirokatsu Hayashi, Iwao Kumazawa |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
MOF
multiple organ failure medicine.medical_specialty Peritonitis Case Report Abdominal cavity Gastroenterology Sepsis 03 medical and health sciences 0302 clinical medicine Spontaneous bacterial peritonitis Internal medicine Ascites medicine Edwardsiella tarda biology business.industry Peritoneal fluid Hepatobiliary disease SBP spontaneous bacterial peritonitis medicine.disease biology.organism_classification CT computed tomography medicine.anatomical_structure Cirrhosis 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery medicine.symptom business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2020.09.126 |
| Popis: | Highlights • Case of spontaneous bacterial peritonitis associated with E. tarda infection. • The patient had Child–Pugh A cirrhosis secondary to hepatitis C virus infection. • Surgical findings included redness and thickening of the cecal wall. • Purulent ascites without intestinal contents was observed. • E. tarda infection has a poor prognosis in patients with underlying disease. Introduction Edwardsiella tarda is a member of the Enterobacteriaceae family of gram-negative bacilli isolated from animals. Gastroenteritis is the most common manifestation of E. tarda infection. However, extraintestinal infections can occur in immunocompromised hosts as well as patients with hepatobiliary disease, malignancy, and/or diabetes mellites. The prognosis of sepsis caused by E. tarda is extremely poor, with a mortality rate of 38%. Here we report the occurrence of spontaneous bacterial peritonitis associated with E. tarda infection. Presentation of case An 87-year-old man with Child–Pugh A cirrhosis secondary to hepatitis C virus infection presented with diarrhea and sudden-onset pain in the abdomen. On arrival, guarding and rebound tenderness were observed over the entire abdomen. Computed tomography revealed circumferential thickening of the cecum and a small volume of ascites in the pelvic cavity. A diagnosis of peritonitis was made, and surgery was performed. Surgical findings included redness and thickening of the cecal wall and purulent ascites without intestinal contents. Peritoneal fluid culture revealed E. tarda as the sole pathogen. The abdominal cavity was washed, a drain was placed in the pelvic cavity, and postoperative intravenous antibiotic therapy was initiated. The postoperative course was uneventful. Discussion E. tarda infection in the presence of an underlying disease such as hepatobiliary disease, malignancy, and/or diabetes mellitus has a poor prognosis. Conclusion Although E. tarda infection is extremely rare, it is a life-threatening illness that can cause intestinal and extraintestinal infections. If necessary, early surgical intervention should be considered for cases of extraintestinal infection. |
| Databáze: | OpenAIRE |
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