Spontaneous Bacterial Peritonitis Caused by Hafnia alvei in a Patient with Liver Cirrhosis / 감염과화학요법
Infection and Chemotherapy
; : 420-423, 2010.
Article
en En
| WPRIM
| ID: wpr-11002
Biblioteca responsable:
WPRO
ABSTRACT
Hafnia alvei is a gram-negative bacillus that is rarely isolated from human clinical specimens and is rarely pathogenic. This organism is an extremely uncommon cause of spontaneous bacterial peritonitis (SBP). We report a case of an 83-year-old male with hepatitis C-associated liver cirrhosis and hepatocellular carcinoma who was diagnosed with SBP caused by H. alvei. He was admitted to an university-affiliated hospital with fever and abdominal pain. There were 2 episodes of SBP during 2 months. Although isolates of H. alvei from ascitic fluid were shown to be susceptible to cefotaxime, responses for cefotaxime treatment were inadequate in both episodes. Therefore, cefotaxime was switched to imipenem in the first episode and to ciprofloxacin in the second, according to the results of antimicrobial susceptibility. After the antibiotics was changed, SBP was resolved.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Peritonitis
/
Bacillus
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Líquido Ascítico
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Ciprofloxacina
/
Dolor Abdominal
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Cefotaxima
/
Imipenem
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Carcinoma Hepatocelular
/
Hafnia
/
Hafnia alvei
Tipo de estudio:
Prognostic_studies
Límite:
Aged
/
Aged80
/
Humans
/
Male
Idioma:
En
Revista:
Infection and Chemotherapy
Año:
2010
Tipo del documento:
Article