title: Spontaneous bacterial peritonitis caused by Streptococcus bovis: case report and review of the literature.
abstract: Spontaneous bacterial peritonitis (SBP) is a frequent and severe complication that occurs in patient with cirrhosis and ascites. It occurs in 10% to 30% of patients admitted to hospital. The organisms that cause SBP are predominantly enteric. Escherichia coli is the most frequent recovered pathogen, and Gram-positive bacteria, mainly Staphylococcus spp., are being considered an emerging causative agent of SBP. Streptococcus bovis that may be found as part of the commensal bowel flora in about 10% of healthy adults constitute an uncommon cause of peritonitis that was first reported in 1994. We describe the first case of SBP at the University Hospital of Santa Maria (HUSM) caused by S. bovis, resistant to the antibiotics erythromycin and clindamycin (inducible clindamycin resistance detected by disk diffusion test using the D-zone test).
authors.affiliation: Universidade Federal de Santa Maria, Santa Maria, RS, Brazil. rosmari.ufsm@gmail.com
authors.forename: Rosmari
authors.initials: R
authors.lastname: Hörner
authors.forename: Adenilde
authors.initials: A
authors.lastname: Salla
authors.forename: Loiva Otonelli de
authors.initials: LO
authors.lastname: Oliveira
authors.forename: Nara Lucia Frasson Dal
authors.initials: NL
authors.lastname: Forno
authors.forename: Roselene Alves
authors.initials: RA
authors.lastname: Righi
authors.forename: Vanessa Oliveira
authors.initials: VO
authors.lastname: Domingues
authors.forename: Fabiane
authors.initials: F
authors.lastname: Rigatti
authors.forename: Letícia Eichstaedt
authors.initials: LE
authors.lastname: Mayer
mesh_terms: D000368:Aged; D017809:Fatal Outcome; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008297:Male; D010538:Peritonitis / Q000382:microbiology*; D013290:Streptococcal Infections / Q000382:microbiology*; D016985:Streptococcus bovis / Q000302:isolation & purification*