McCue J D
JAMA. 1983;250(24):3319-21.
Eight patients had nine episodes of presumed spontaneous bacterial peritonitis (SBP) caused by commensal bacteria that usually inhabit the oropharynx, including Neisseria perflava and the viridans streptococci Streptococcus milleri, Streptococcus mitis, and Streptococcus sanguis. Nonpurulent ascites (ascitic fluid WBC count, less than 1,000/cu mm) was present in four episodes, possibly caused by either bacterial colonization or early peritonitis; purulent ascites was present in five episodes. None died of their infection, and three episodes remitted without treatment. Poor condition of gums and teeth may play a pathogenic role in SBP caused by these bacteria.
8名患者发生了9次疑似自发性细菌性腹膜炎(SBP),病因是通常寄居于口咽部的共生菌,包括微黄奈瑟菌以及草绿色链球菌米勒链球菌、缓症链球菌和血链球菌。4次发作时出现非脓性腹水(腹水白细胞计数少于1000/立方毫米),可能是由细菌定植或早期腹膜炎所致;5次发作时出现脓性腹水。无一例因感染死亡,3次发作未经治疗即缓解。牙龈和牙齿状况不佳可能在这些细菌所致的SBP中起到致病作用。