Vázquez J, Such J, Ena J, Argüello L, Ortiz de la Tabla V, Mingot M, Peris A
Sección de Aparato Digestivo, Hospital Marina Baixa, Villajoyosa, Alicante.
Rev Esp Enferm Dig. 1995 May;87(5):407-11.
We present a case of spontaneous bacterial peritonitis (SBP) caused by Listeria monocytogenes in a patient previously diagnosed as alcoholic liver cirrhosis. The clinical presentation, biochemical data and outcome of the patient are compared with those of cases of SBP caused by Listeria monocytogenes in patients with cirrhosis published in the Spanish and English literature. Twelve out of 20 cases described in the literature were published by Spanish authors. This greater proportion could be related to dietary habits (greater consumption of fruits and vegetables), climatic or demographic factors. We underline the importance of pursuing a microbiological diagnosis since Listeria monocytogenes is intrinsically resistant to cefotaxime, the antimicrobial often selected to empirically treat SBP episodes.
我们报告一例由单核细胞增生李斯特菌引起的自发性细菌性腹膜炎（SBP），患者此前被诊断为酒精性肝硬化。将该患者的临床表现、生化数据及转归与西班牙文和英文文献中报道的肝硬化患者由单核细胞增生李斯特菌引起的SBP病例进行比较。文献中描述的20例病例中有12例由西班牙作者发表。这一较高比例可能与饮食习惯（水果和蔬菜摄入量较大）、气候或人口统计学因素有关。我们强调进行微生物学诊断的重要性，因为单核细胞增生李斯特菌对头孢噻肟天然耐药，而头孢噻肟是常用于经验性治疗SBP发作的抗菌药物。
