Barrio J, Castiella A, Von Wichman M A, Cosme A, López P, Arenas J I
Servicio de Aparato Digestivo, Hospital Nuestra Señora de Aránzazu, San Sebastián.
Gastroenterol Hepatol. 1999 Feb;22(2):79-81.
Bacteriemia is a frequent infection in patients with hepatic cirrhosis, which is associated with a high mortality. Spontaneous bacteriemia is generally caused by gramnegative bacilli. We present an episode of Salmonella hadar's spontaneous bacteriemia in a patient with cirrhosis of the liver and transjugular intrahepatic portosystemic shunt. The role of the prosthesis in the pathogenesis of bacteriemia in hepatic cirrhosis is discussed.
菌血症是肝硬化患者常见的感染,与高死亡率相关。自发性菌血症通常由革兰氏阴性杆菌引起。我们报告了一例肝硬化合并经颈静脉肝内门体分流术患者发生哈达尔沙门氏菌自发性菌血症的病例。并讨论了人工血管在肝硬化菌血症发病机制中的作用。