Suárez A, Otero L, Navascués C A, Menéndez M T, Román F J, García R, Saro C, Rodríguez A
Sección de Aparato Digestivo, Hospital de Cabueñes, Gijón.
Rev Esp Enferm Dig. 1994 Sep;86(3):691-3.
We report a case of spontaneous peritonitis due to Candida albicans, in a diabetic patient with alcoholic liver cirrhosis, ascites, gastrointestinal bleeding from esophageal varices, sepsis, renal failure and encephalopathy. These factors, added to prolonged antibiotic therapy and instrumental manipulations, could have resulted in the colonization by Candida, usually described in secondary peritonitis, but perhaps underdiagnosed in cirrhotic patients with spontaneous peritonitis and severe multiorgan failure.
我们报告一例由白色念珠菌引起的自发性腹膜炎病例,患者为一名患有酒精性肝硬化、腹水、食管静脉曲张导致的胃肠道出血、败血症、肾衰竭和脑病的糖尿病患者。这些因素,再加上长期抗生素治疗和器械操作,可能导致念珠菌定植,这通常在继发性腹膜炎中有所描述,但在患有自发性腹膜炎和严重多器官功能衰竭的肝硬化患者中可能未得到充分诊断。