A Case of Spontaneous Bacterial Peritonitis Caused byListeria monocytogenes
| Autor: | Joo Hyun Sohn, Yong Chul Jeon, Dong Soo Han, Tae Yeob Kim, Kyo Sang Yoo, Ji Yeoun Kim, Byung Sihk Kim, Jieun Kim |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Cirrhosis medicine.drug_class Antibiotics Peritonitis medicine.disease_cause Microbiology Liver disease Spontaneous bacterial peritonitis Listeria monocytogenes Liver Cirrhosis Alcoholic medicine Humans Listeriosis business.industry Ascites General Medicine Middle Aged medicine.disease Antibiotic coverage Anti-Bacterial Agents Ampicillin Klebsiella pneumonia business |
| Zdroj: | The Korean Journal of Gastroenterology. 62:179 |
| ISSN: | 2233-6869 1598-9992 |
| DOI: | 10.4166/kjg.2013.62.3.179 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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