Spontaneous bacterial peritonitis caused byListeria monocytogenes: Two case reports and literature review

1992 ◽  
Vol 11 (4) ◽  
pp. 346-349 ◽  
Author(s):  
A. Polanco ◽  
C. Giner ◽  
R. Cantón ◽  
A. León ◽  
M. Garcia Gonzalez ◽  
...  
Keyword(s):  
Literature Review ◽  
Spontaneous Bacterial Peritonitis ◽  
Case Reports ◽  
Bacterial Peritonitis

scholarly journals Spontaneous Bacterial Peritonitis due toLactobacillus paracaseiin Cirrhosis

2018 ◽  
Vol 2018 ◽  
pp. 1-2 ◽  
Author(s):  
Emily Harding-Theobald ◽  
Bharat Maraj
Keyword(s):  
Renal Failure ◽  
Spontaneous Bacterial Peritonitis ◽  
Hepatorenal Syndrome ◽  
Case Reports ◽  
Bowel Perforation ◽  
High Dose ◽  
Human Gastrointestinal Tract ◽  
Bacterial Peritonitis ◽  
Standard Management ◽  
Antibiotic Coverage

Lactobacillusspecies colonize the human gastrointestinal tract and are rarely pathogenic. We present a case involving a cirrhotic patient who presented with sepsis and was found to have peritoneal cultures demonstratingLactobacillusas the sole pathogen concerning for spontaneous bacterial peritonitis. Treatment was achieved with high-dose penicillin and clindamycin but the patient developed hepatorenal syndrome and died from acute renal failure. Intra-abdominalLactobacillusinfections are typically seen in patients undergoing peritoneal dialysis or who have recently had bowel perforation. There are few case reports of spontaneousLactobacillusperitonitis in patients with cirrhosis. Our case report addresses the challenges ofLactobacillustreatment and suggests antibiotic coverage of commensal organisms in patients who do not improve with standard management.

scholarly journals First Documented Case of Percutaneous Endoscopic Gastrostomy (PEG) Tube-Associated Bacterial Peritonitis due to Achromobacter Species with Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
Nishant Tripathi ◽  
Niki Koirala ◽  
Hirotaka Kato ◽  
Tushi Singh ◽  
Kishore Karri ◽  
...  
Keyword(s):  
Literature Review ◽  
Percutaneous Endoscopic Gastrostomy ◽  
Spontaneous Bacterial Peritonitis ◽  
Acquired Resistance ◽  
Tube Placement ◽  
Chronic Infections ◽  
Bacterial Peritonitis ◽  
Endoscopic Gastrostomy ◽  
Peg Tube

Introduction. Achromobacter species (spp.) peritonitis has seldom been identified in medical literature. Scarce cases of Achromobacter peritonitis described previously have been correlated with peritoneal dialysis and more sparingly with spontaneous bacterial peritonitis. Achromobacter exhibits intrinsic and acquired resistance, especially in chronic infections, to most antibiotics. This article conducts a literature review of all previously reported Achromobacter spp. peritonitis and describes the first reported case of Achromobacter peritonitis as a complication of percutaneous endoscopic gastrostomy (PEG) tube placement. Discussion. Achromobacter peritonitis as a complication of PEG-tube placement has not been previously reported. In our patients’ case, the recently placed PEG-tube with ascitic fluid leakage was identified as the most plausible infection source. Although a rare bacterial peritonitis pathogen, Achromobacter may be associated with wide antimicrobial resistance and unfavorable outcomes. Conclusion. No current guidelines provide significant guidance on treatment of PEG-tube peritonitis regardless of microbial etiology. Infectious Disease Society of America identifies various broad-spectrum antibiotics targeting nosocomial intra-abdominal coverage; some of these antimicrobial selections (such as cefepime and metronidazole combination) may yet be inadequate for widely resistant Achromobacter spp. Recognizably, the common antibiotics utilized for spontaneous bacterial peritonitis, i.e., third generation cephalosporins and fluoroquinolones, to which Achromobacter is resistant and variably susceptible, respectively, would be extensively insufficient. Piperacillin/tazobactam (P/T) and carbapenem were identified to provide the most reliable coverage in vitro; clinically, 5 out of the 8 patients who received either P/T or a carbapenem, or both, eventually experienced clinical improvement.

Microbial epidemiology in cirrhotic patients with spontaneous bacterial peritonitis in Vienna

2013 ◽  
Vol 51 (05) ◽  
Author(s):  
P Schwabl ◽  
K Soucek ◽  
T Bucsics ◽  
M Mandorfer ◽  
A Blacky ◽  
...  
Keyword(s):  
Spontaneous Bacterial Peritonitis ◽  
Bacterial Peritonitis ◽  
Cirrhotic Patients
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