Runyon B A
Am J Med. 1986 May;80(5):997-8. doi: 10.1016/0002-9343(86)90652-2.
A cirrhotic patient is described who presented with Escherichia coli septic arthritis as the first manifestation of a perinephric abscess. Results of baseline abdominal paracentesis were unremarkable. After 10 days of antibiotics, abdominal paracentesis was repeated because of recurrence of fever; E. coli peritonitis was confirmed. Subsequent autopsy revealed a perinephric abscess. Development of bacterial peritonitis during antibiotic treatment is distinctly unusual in the "spontaneous" form of peritonitis and should raise suspicion of secondary bacterial peritonitis.
本文描述了一名肝硬化患者，其以大肠杆菌性脓毒性关节炎作为肾周脓肿的首发表现。初次腹腔穿刺的结果无异常。使用抗生素治疗10天后，因发热复发再次进行腹腔穿刺；确诊为大肠杆菌性腹膜炎。随后的尸检发现一个肾周脓肿。在抗生素治疗期间发生细菌性腹膜炎，在“自发性”腹膜炎中明显不常见，应怀疑继发性细菌性腹膜炎。
