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
; : 1598-1600, 2012.
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| WPRIM | ID: wpr-146690
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.
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