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

Affiliations
  • 1Department of Internal Medicine, Kangdong Sacred Heart Hospital of Hallym University Medical Center, Seoul, Korea. hskim@hallym.or.kr

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

Reference

1. Suk KT, Baik SK, Yoon JH, Cheong JY, Paik YH, Lee CH, Kim YS, Lee JW, Kim DJ, Cho SW, et al. Revision and update on clinical practice guideline for liver cirrhosis. Korean J Hepatol. 2012. 18:1–21.
2. Ginès P, Cárdenas A, Arroyo V, Rodés J. Management of cirrhosis and ascites. N Engl J Med. 2004. 350:1646–1654.
3. Gordon S, Swenson JM, Hill BC, Pigott NE, Facklam RR, Cooksey RC, Thornsberry C, Jarvis WR, Tenover FC. Antimicrobial susceptibility patterns of common and unusual species of enterococci causing infections in the United States. Enterococcal Study Group. J Clin Microbiol. 1992. 30:2373–2378.
4. Murray BE. The life and times of the Enterococcus. Clin Microbiol Rev. 1990. 3:46–65.
5. Prakash VP, Rao SR, Parija SC. Emergence of unusual species of enterococci causing infections, South India. BMC Infect Dis. 2005. 5:14.
6. Farrow JA, Collins MD. Enterococcus hirae, a new species that includes amino acid assay strain NCDO 1258 and strains causing growth depression in young chickens. Int J Syst Bacteriol. 1985. 35:73–75.
7. Etheridge ME, Yolken RH, Vonderfecht SL. Enterococcus hirae implicated as a cause of diarrhea in suckling rats. J Clin Microbiol. 1988. 26:1741–1744.
8. Devriese LA, Haesebrouck F. Enterococcus hirae in different animal species. Vet Rec. 1991. 129:391–392.
9. Gilad J, Borer A, Riesenberg K, Peled N, Shnaider A, Schlaeffer F. Enterococcus hirae septicemia in a patient with end-stage renal disease undergoing hemodialysis. Eur J Clin Microbiol Infect Dis. 1998. 17:576–577.
10. Park J, Uh Y, Jang IH, Yoon KJ, Kim SJ. A case of Enterococcus hirae septicemia in a patient with acute pyelonephritis. Korean J Clin Pathol. 2000. 20:501–503.
11. Poyart C, Lambert T, Morand P, Abassade P, Quesne G, Baudouy Y, Trieu-Cuot P. Native valve endocarditis due to Enterococcus hirae. J Clin Microbiol. 2002. 40:2689–2690.
12. Canalejo E, Ballesteros R, Cabezudo J, García-Arata MI, Moreno J. Bacteraemic spondylodiscitis caused by Enterococcus hirae. Eur J Clin Microbiol Infect Dis. 2008. 27:613–615.
13. Kim HI, Lim DS, Seo JY, Choi SH. A case of pyelonephritis accompanied by Enterococcus hirae bacteremia. Infect Chemother. 2009. 41:359–361.
14. Talarmin JP, Pineau S, Guillouzouic A, Boutoille D, Giraudeau C, Reynaud A, Lepelletier D, Corvec S. Relapse of Enterococcus hirae prosthetic valve endocarditis. J Clin Microbiol. 2011. 49:1182–1184.
15. Chan TS, Wu MS, Suk FM, Chen CN, Chen YF, Hou YH, Lien GS. Enterococcus hirae-related acute pyelonephritis and cholangitis with bacteremia: an unusual infection in humans. Kaohsiung J Med Sci. 2012. 28:111–114.
16. Uh Y, Jang IH, Hwang GY, Yoon KJ, Lee HH. Identification and biochemical reactions of Enterococci by a simplified identification system. Korean J Clin Microbiol. 1999. 2:58–63.
17. McNamara EB, King EM, Smyth EG. A survey of antimicrobial susceptibility of clinical isolates of Enterococcus spp. from Irish hospitals. J Antimicrob Chemother. 1995. 35:185–189.
18. Massa R, Bantar C, Mollerach M, Nicola F, Murray BE, Smayevsky J, Gutkind G. Emergence in vivo of resistance to ampicillin in a clinical isolate of Enterococcus hirae. J Antimicrob Chemother. 1998. 42:559–561.
19. Mangan MW, McNamara EB, Smyth EG, Storrs MJ. Molecular genetic analysis of high-level gentamicin resistance in Enterococcus hirae. J Antimicrob Chemother. 1997. 40:377–382.
20. Heo J, Seo YS, Yim HJ, Hahn T, Park SH, Ahn SH, Park JY, Park JY, Kim MY, Park SK, et al. Clinical features and prognosis of spontaneous bacterial peritonitis in Korean patients with liver cirrhosis: a multicenter retrospective study. Gut Liver. 2009. 3:197–204.
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