title: [Bacillus cereus septicemia and necrotizing fasciitis in a patient with liver cirrhosis: a case report].
abstract: A 54-year-old woman with hematemesis was referred to our hospital. She had a history of liver cirrhosis and diabetes mellitus. After inserting a Sengstaken-Blakemore tube, we performed endoscopic variceal ligation for ruptured esophageal varices. On the third day of admission, she developed septicemia and necrotizing fasciitis caused by Bacillus cereus. She was successfully treated with early debridement of both lower extremities and intravenous treatment with vancomycin, ciprofloxacin, and clindamycin. Although B. cereus is an attenuate bacterium, it can occasionally cause fatal infection in immuno-compromised individuals, such as those with liver cirrhosis.
authors.affiliation: Department of Gastroenterology and Hepatology, Kyoto City Hospital.
authors.forename: Shogo
authors.initials: S
authors.lastname: Matsuda
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Kirishima
authors.forename: Naoki
authors.initials: N
authors.lastname: Okamoto
authors.forename: Yasuko
authors.initials: Y
authors.lastname: Hisano
authors.forename: Koji
authors.initials: K
authors.lastname: Takai
authors.forename: Takayuki
authors.initials: T
authors.lastname: Motoyoshi
authors.forename: Makoto
authors.initials: M
authors.lastname: Nishikata
authors.forename: Yasuhide
authors.initials: Y
authors.lastname: Yamashita
authors.forename: Naomi
authors.initials: N
authors.lastname: Yoshinami
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Shintani
mesh_terms: D001409:Bacillus cereus; D019115:Fasciitis, Necrotizing / Q000382:microbiology* / Q000473:pathology; D005260:Female; D016908:Gram-Positive Bacterial Infections; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D018805:Sepsis / Q000382:microbiology*