J Korean Med Sci.  2012 Dec;27(12):1598-1600. 10.3346/jkms.2012.27.12.1598.

Spontaneous Bacterial Peritonitis with Sepsis Caused by Enterococcus hirae

• Sim JS
• Kim HS
• Oh KJ
• Park MS
• Jung EJ
• Jung YJ
• Kang DG
• Seo SI
• Kim WJ
• Jang MK

• KMID: 2157990
• DOI: http://doi.org/10.3346/jkms.2012.27.12.1598

Abstract

Selective intestinal decontamination (SID) with norfloxacin has been widely used for the prophylaxis of spontaneous bacterial peritonitis (SBP) because of a high recurrence rate and preventive effect of SID for SBP. However, it does select resistant gut flora and may lead to SBP caused by unusual pathogens such as quinolone-resistant gram-negative bacilli or gram-positive cocci. Enterococcus hirae is known to cause infections mainly in animals, but is rarely encountered in humans. We report the first case of SBP by E. hirae in a cirrhotic patient who have previously received an oral administration of norfloxacin against SBP caused by Klebsiella pneumoniae and presented in septic shock.

Keyword

Enterococcus hirae; Spontaneous Bacterial Peritonitis; Sepsis; Liver Cirrhosis

MeSH Terms

Administration, Oral
Ampicillin/therapeutic use
Anti-Bacterial Agents/therapeutic use
Ascitic Fluid/microbiology
Enterococcus/*isolation & purification
Gram-Positive Bacterial Infections/complications/drug therapy/*microbiology
Humans
Male
Microbial Sensitivity Tests
Middle Aged
Peritonitis/*diagnosis/drug therapy/microbiology
Sepsis/*etiology
Anti-Bacterial Agents
Ampicillin

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