Spontaneous Bacterial Peritonitis due to Lactobacillus paracasei in Cirrhosis
Lactobacillus species colonize the human gastrointestinal tract and are rarely pathogenic. We present a case involving a cirrhotic patient who presented with sepsis and was found to have peritoneal cultures demonstrating Lactobacillus as the sole pathogen concerning for spontaneous bacterial periton...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/5714053 |
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| _version_ | 1832545852221030400 |
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| author | Emily Harding-Theobald Bharat Maraj |
| author_facet | Emily Harding-Theobald Bharat Maraj |
| author_sort | Emily Harding-Theobald |
| collection | DOAJ |
| description | Lactobacillus species colonize the human gastrointestinal tract and are rarely pathogenic. We present a case involving a cirrhotic patient who presented with sepsis and was found to have peritoneal cultures demonstrating Lactobacillus as the sole pathogen concerning for spontaneous bacterial peritonitis. Treatment was achieved with high-dose penicillin and clindamycin but the patient developed hepatorenal syndrome and died from acute renal failure. Intra-abdominal Lactobacillus infections are typically seen in patients undergoing peritoneal dialysis or who have recently had bowel perforation. There are few case reports of spontaneous Lactobacillus peritonitis in patients with cirrhosis. Our case report addresses the challenges of Lactobacillus treatment and suggests antibiotic coverage of commensal organisms in patients who do not improve with standard management. |
| format | Article |
| id | doaj-art-5d764d7e87ed4396a9d9d68947a28f77 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-5d764d7e87ed4396a9d9d68947a28f772025-02-03T07:24:37ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362018-01-01201810.1155/2018/57140535714053Spontaneous Bacterial Peritonitis due to Lactobacillus paracasei in CirrhosisEmily Harding-Theobald0Bharat Maraj1Department of Medicine, University of California, San Francisco Medical Center, San Francisco, CA, USADepartment of Medicine, University of California, San Francisco Medical Center, San Francisco, CA, USALactobacillus species colonize the human gastrointestinal tract and are rarely pathogenic. We present a case involving a cirrhotic patient who presented with sepsis and was found to have peritoneal cultures demonstrating Lactobacillus as the sole pathogen concerning for spontaneous bacterial peritonitis. Treatment was achieved with high-dose penicillin and clindamycin but the patient developed hepatorenal syndrome and died from acute renal failure. Intra-abdominal Lactobacillus infections are typically seen in patients undergoing peritoneal dialysis or who have recently had bowel perforation. There are few case reports of spontaneous Lactobacillus peritonitis in patients with cirrhosis. Our case report addresses the challenges of Lactobacillus treatment and suggests antibiotic coverage of commensal organisms in patients who do not improve with standard management.http://dx.doi.org/10.1155/2018/5714053 |
| spellingShingle | Emily Harding-Theobald Bharat Maraj Spontaneous Bacterial Peritonitis due to Lactobacillus paracasei in Cirrhosis Case Reports in Gastrointestinal Medicine |
| title | Spontaneous Bacterial Peritonitis due to Lactobacillus paracasei in Cirrhosis |
| title_full | Spontaneous Bacterial Peritonitis due to Lactobacillus paracasei in Cirrhosis |
| title_fullStr | Spontaneous Bacterial Peritonitis due to Lactobacillus paracasei in Cirrhosis |
| title_full_unstemmed | Spontaneous Bacterial Peritonitis due to Lactobacillus paracasei in Cirrhosis |
| title_short | Spontaneous Bacterial Peritonitis due to Lactobacillus paracasei in Cirrhosis |
| title_sort | spontaneous bacterial peritonitis due to lactobacillus paracasei in cirrhosis |
| url | http://dx.doi.org/10.1155/2018/5714053 |
| work_keys_str_mv | AT emilyhardingtheobald spontaneousbacterialperitonitisduetolactobacillusparacaseiincirrhosis AT bharatmaraj spontaneousbacterialperitonitisduetolactobacillusparacaseiincirrhosis |