[A case of spontaneous bacterial peritonitis caused by Listeria monocytogenes].
Spontaneous bacterial peritonitis (SBP) is a life-threatening complication in patients with ascites caused by advanced liver disease. While gram negative bacteria, such as Escherichia coli and Klebsiella pneumonia are the common pathogens, Listeria monocytogenes has been recognized as a very rare pathogen. Empirical treatment with third generation cephalosporins does not provide adequate antibiotics coverage against L. monocytogenes. Diagnosis is often delayed as it requires confirmation from ascitic fluid culture. Herein, we describe the first case of SBP caused by L. monocytogenes in a patient with advanced alcoholic liver cirrhosis in Korea. Clinicians should be aware of the atypical pathogens, especially in patients with inadequate response to empirical antibiotics.
Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea.
Byung Sihk
BS
Kim
Tae Yeob
TY
Kim
Ji Yeoun
JY
Kim
Kyo Sang
KS
Yoo
Yong Chul
YC
Jeon
Dong Soo
DS
Han
Joo Hyun
JH
Sohn
Jieun
J
Kim
D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001201:Ascites / Q000382:microbiology; D006801:Humans; D008089:Listeria monocytogenes / Q000502:physiology*; D008088:Listeriosis / Q000175:diagnosis* / Q000188:drug therapy; D008104:Liver Cirrhosis, Alcoholic / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis* / Q000382:microbiology*
D000900:Anti-Bacterial Agents; D000667:Ampicillin