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KMID : 0191120120270121598
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Journal of Korean Medical Science
2012 Volume.27 No. 12 p.1598 ~ p.1600
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Spontaneous Bacterial Peritonitis with Sepsis Caused by Enterococcus hirae
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Sim Jong-Seop
Kim Hyoung-Su
Oh Ki-Jong
Park Myung-Soo
Jung Eun-Ju
Jung Youn-Joo
Kang Dae-Gil
Seo Seung-In
Kim Won-Jin
Jang Myoung-Kuk
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Abstract
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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.
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KEYWORD
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Enterococcus hirae, Spontaneous Bacterial Peritonitis, Sepsis, Liver Cirrhosis
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