title: Spontaneous bacterial peritonitis and bacteremia due to Leuconostoc species in a patient with end-stage liver disease: a case report.
abstract: This report describes a case of spontaneous bacterial peritonitis in a patient with end stage liver disease in whom Leuconostoc spp. was isolated from blood and ascitic fluid. In common with several previously described patients with cultures positive for Leuconostoc from other body sites, this patient had recently received vancomycin. The antibiotic susceptibilities and mechanism of vancomycin resistance of this Gram-positive bacteria are reviewed.
authors.affiliation: Department of Medicine, Penn State College of Medicine, The Milton S. Hershey Center, 500 University Drive, Hershey, Pennsylvania 17033-2390, USA.
authors.forename: K S
authors.initials: KS
authors.lastname: Templin
authors.forename: T
authors.initials: T
authors.lastname: Crook
authors.forename: T
authors.initials: T
authors.lastname: Riley
authors.forename: C
authors.initials: C
authors.lastname: Whitener
authors.forename: R C
authors.initials: RC
authors.lastname: Aber
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology; D001202:Ascitic Fluid / Q000382:microbiology; D016470:Bacteremia / Q000382:microbiology*; D003924:Diabetes Mellitus, Type 2 / Q000382:microbiology*; D017809:Fatal Outcome; D006801:Humans; D007934:Leuconostoc / Q000302:isolation & purification*; D008103:Liver Cirrhosis / Q000382:microbiology*; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000382:microbiology*; D014640:Vancomycin / Q000494:pharmacology
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin