丙型肝炎肝硬化所致自发性细菌性腹膜炎一例：病例报告
A Patient of Spontaneous Bacterial Peritonitis in Hepatitis C Cirrhosis Caused by : A Case Report.
作者信息
Zheng Wei, Liu Jianhua, Bai Haixia, Xu Xin, Wu Lina, Qin Xiaosong
机构信息
Department of Laboratory Medicine, Shengjing Hospital of China Medical University, Liaoning Clinical Research Center for Laboratory Medicine, Shengyang, People's Republic of China.
出版信息
Infect Drug Resist. 2024 May 9;17:1803-1810. doi: 10.2147/IDR.S459821. eCollection 2024.
BACKGROUND
is an opportunistic pathogen that rarely causes clinical infections. Here, we first report a case of spontaneous bacterial peritonitis in patients with hepatitis C cirrhosis caused by .
CASE PRESENTATION
A 71-year-old male patient was diagnosed with spontaneous bacteria peritonitis secondary to hepatitis C cirrhosis. The result of bacterial culture in ascites was positive, and the pathogenic bacteria was preliminarily identified as the genus by matrix-assisted laser desorption ionization-time of flight mass spectrometry. After 16S rRNA sequencing analysis, it was determined to be the . Symptoms relieved after treatment with ceftazidime.
CONCLUSION
This case indicates that the clinical infections caused by should be brought to the forefront. Accurate and rapid bacterial identification results are highly beneficial to the diagnosis and therapeutic regime.
背景
是一种机会致病菌，很少引起临床感染。在此，我们首次报告一例由引起的丙型肝炎肝硬化患者自发性细菌性腹膜炎病例。
病例介绍
一名71岁男性患者被诊断为继发于丙型肝炎肝硬化的自发性细菌性腹膜炎。腹水细菌培养结果为阳性，通过基质辅助激光解吸电离飞行时间质谱初步鉴定病原菌为属。经过16S rRNA测序分析，确定为。使用头孢他啶治疗后症状缓解。
结论
该病例表明由引起的临床感染应引起重视。准确快速的细菌鉴定结果对诊断和治疗方案非常有益。
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