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产气荚膜梭菌作为自发性细菌性腹膜炎的罕见病因

Clostridium Perfringens as a Rare Cause of Spontaneous Bacterial Peritonitis.

作者信息

Canahuati Escobar Javier E, Hasan Dean, Dennis Roy L, Faris Mohamed

机构信息

Internal Medicine, Grand Strand Medical Center, Myrtle Beach, USA.

Internal Medicine, Edward Via College of Osteopathic Medicine (VCOM), Myrtle Beach, USA.

出版信息

Cureus. 2024 Sep 1;16(9):e68363. doi: 10.7759/cureus.68363. eCollection 2024 Sep.

Abstract

Spontaneous bacterial peritonitis (SBP) is a serious complication in individuals with liver cirrhosis and ascites. In this case report, we present an unusual cause of SBP in loculated ascites caused by an uncommon bacterium, . Although SBP is typically associated with certain common pathogens, it is important to recognize that less frequent organisms can also trigger it. is typically associated with other environmental sources, but in this instance, the infection's origin was suspected to be either nosocomial, from prior paracentesis, or due to a microscopic bowel perforation that was undetectable on imaging. Remarkably, the patient responded well with an improvement of symptoms, and the ascitic fluid bacterial growth resolved on subsequent cultures.

摘要

自发性细菌性腹膜炎(SBP)是肝硬化腹水患者的一种严重并发症。在本病例报告中,我们呈现了由一种罕见细菌引起的局限性腹水中SBP的不寻常病因。尽管SBP通常与某些常见病原体相关,但认识到较少见的微生物也可引发该病很重要。 通常与其他环境来源相关,但在本例中,感染源被怀疑要么是医院获得性的、源于先前的腹腔穿刺术,要么是由于影像学检查未发现的微小肠穿孔。值得注意的是,患者症状改善,反应良好,后续培养显示腹水细菌生长消失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d747/11443477/af51b1e376fb/cureus-0016-00000068363-i01.jpg

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