title: Spontaneous bacterial peritonitis with sepsis caused by Enterococcus hirae.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Kangdong Sacred Heart Hospital of Hallym University Medical Center, Seoul, Korea.
authors.forename: Jong Seop
authors.initials: JS
authors.lastname: Sim
authors.forename: Hyoung Su
authors.initials: HS
authors.lastname: Kim
authors.forename: Ki Jong
authors.initials: KJ
authors.lastname: Oh
authors.forename: Myung Soo
authors.initials: MS
authors.lastname: Park
authors.forename: Eun Ju
authors.initials: EJ
authors.lastname: Jung
authors.forename: Youn Joo
authors.initials: YJ
authors.lastname: Jung
authors.forename: Dae Gil
authors.initials: DG
authors.lastname: Kang
authors.forename: Seung In
authors.initials: SI
authors.lastname: Seo
authors.forename: Won Jin
authors.initials: WJ
authors.lastname: Kim
authors.forename: Myoung Kuk
authors.initials: MK
authors.lastname: Jang
mesh_terms: D000284:Administration, Oral; D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001202:Ascitic Fluid / Q000382:microbiology; D016983:Enterococcus / Q000302:isolation & purification*; D016908:Gram-Positive Bacterial Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D018805:Sepsis / Q000209:etiology*
chemical_list: D000900:Anti-Bacterial Agents; D000667:Ampicillin