Lin Chen-Sheng, Lin Cheng-Wen
Division of Gastroenterology, Kuang Tien General Hospital, Taichung 433, Taiwan.
Department of Medical Laboratory Science and Biotechnology, China Medical University, Taichung 404, Taiwan - Department of Biotechnology, Asia University, Wufeng, Taichung 413, Taiwan.
Biomedicine (Taipei). 2019 Jun;9(2):13. doi: 10.1051/bmdcn/2019090213. Epub 2019 May 24.
Aeromonas peritonitis is a rare, but serious infection, as associated with spontaneous bacterial peritonitis, peritonitis in chronic ambulatory peritoneal dialysis, and intestinal perforation. Here, we reported a case of monomicrobial non-neutrocytic bacterascites caused by Aeromonas hydrophila (A. hydrophila). The patient, a 57-year-old man who had a history of alcoholic liver disease and chronic hepatitis C-related Child- Pugh class C liver cirrhosis, was admitted to our hospital with fever, dyspnea and a localized wound pain over left ankle. Ascitic fluid analysis demonstrated that ascitic polymorphonuclear cell count was 30 cells/ mm. Empirical antimicrobial treatment with a combination of ceftriaxone and clindamycin were administered. However, the patient died due to fatal septic shock on Day 3. His blood and ascites cultures were positive for A. hydrophila. The case report presents the diagnosis, management, and literature review of Aeromonas monomicrobial non-neutrocytic bacterascites.
气单胞菌腹膜炎是一种罕见但严重的感染，与自发性细菌性腹膜炎、慢性非卧床腹膜透析中的腹膜炎以及肠道穿孔有关。在此，我们报告一例由嗜水气单胞菌引起的单微生物非中性粒细胞性细菌性腹水病例。该患者为一名57岁男性，有酒精性肝病和慢性丙型肝炎相关的Child-Pugh C级肝硬化病史，因发热、呼吸困难和左踝局部伤口疼痛入院。腹水分析显示腹水多形核细胞计数为30个/mm。给予头孢曲松和克林霉素联合经验性抗菌治疗。然而，患者在第3天因致命性感染性休克死亡。他的血液和腹水培养嗜水气单胞菌呈阳性。本病例报告介绍了嗜水气单胞菌单微生物非中性粒细胞性细菌性腹水的诊断、管理及文献复习。
