|
KMID : 0614620130620030179
|
|
Korean Journal of Gastroenterology
2013 Volume.62 No. 3 p.179 ~ p.181
|
|
|
A Case of Spontaneous Bacterial Peritonitis Caused by Listeria monocytogenes
|
|
Kim Byung-Sihk
Kim Tae-Yeob
Kim Ji-Yeoun
Yoo Kyo-Sang
Jeon Yong-Cheol
Han Dong-Soo
Sohn Joo-Hyun
Kim Ji-Eun
|
|
|
Abstract
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Listeria monocytogenes, Peritonitis, Liver cirrhosis
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|