Division of Hospital Medicine, Brown University Warren Alpert Medical School, Providence, Rhode Island, USA.
Division of Hospital Medicine, Brown University Warren Alpert Medical School, Providence, Rhode Island, USA
BMJ Case Rep. 2022 Apr 22;15(4):e249550. doi: 10.1136/bcr-2022-249550.
Spontaneous bacterial peritonitis (SBP) is a common complication of liver cirrhosis and abdominal ascites, usually caused by organisms from the Enterobacteriaceae family. A woman in her 40s with a history of alcoholic liver cirrhosis presented to the hospital with dyspnoea, abdominal distention and diffuse abdominal pain. She was found to have sepsis and abdominal ascites, with elevated ascitic fluid neutrophil counts consistent with SBP. Culture of ascitic fluid revealed Further investigation revealed that the patient shared her home with a pet bearded dragon, a reptile known to carry spp. She was treated with intravenous ceftriaxone and oral ciprofloxacin for a total of 14 days. , likely transmitted to the patient from the pet reptile, is a rare pathogen in SBP and highlights the importance of environmental exposures in the management of this condition.
自发性细菌性腹膜炎 (SBP) 是肝硬化和腹腔腹水的常见并发症,通常由肠杆菌科的病原体引起。一位 40 多岁的女性,有酒精性肝硬化病史,因呼吸困难、腹胀和弥漫性腹痛就诊。她被诊断为脓毒症和腹腔腹水,腹水中性粒细胞计数升高,符合 SBP 的特征。腹水培养显示 进一步调查发现,患者与一只宠物鬃狮蜥同住,这种爬行动物已知携带 spp。她接受了 14 天的静脉注射头孢曲松和口服环丙沙星治疗。 ,可能是从宠物爬行动物传播给患者的,是 SBP 中的一种罕见病原体,强调了环境暴露在这种疾病管理中的重要性。