García-Irure J J, Navascués A, Vivanco M, Rodrígo A
Servicio de Microbiología, Hospital de Navarra, Pamplona, 31008, Spain.
An Sist Sanit Navar. 2003 Sep-Dec;26(3):429-31.
Bacterial peritonitis is a frequent complication in cirrhotic patients. Amongst the aetiological germs, Aeromonas is very infrequent. We present the clinical case of a cirrhotic patient with peritonitis and bacteraemia due to Aeromonas hydrophila. This micro-organism is a Gram-negative bacillus of the Vibrionaceae family. It very frequently produces gastroenteritis in the human being. Exceptionally it can give rise to extraintestinal infections, especially in immunodepressed patients. Peritonitis due to Aeromonas has been described in association with spontaneous bacterial peritonitis in cirrhotic patients, in patients on peritoneal dialysis and in cases of peritonitis secondary to intestinal perforation.
细菌性腹膜炎是肝硬化患者常见的并发症。在病因菌中,气单胞菌非常少见。我们报告一例肝硬化患者因嗜水气单胞菌引起腹膜炎和菌血症的临床病例。这种微生物是弧菌科的革兰氏阴性杆菌。它在人类中经常引起肠胃炎。极少数情况下,它可导致肠外感染,尤其是在免疫功能低下的患者中。气单胞菌引起的腹膜炎已被描述为与肝硬化患者的自发性细菌性腹膜炎、腹膜透析患者以及肠穿孔继发的腹膜炎有关。