scholarly journals Leclercia adecarboxylata Causing Spontaneous Bacterial Peritonitis in a Child with Nephrotic Syndrome: A Case Report and Review of Literature

2020 ◽  
Vol 12 (03) ◽  
pp. 222-224
Author(s):  
Ijas Hassan ◽  
Parakriti Gupta ◽  
Pallab Ray ◽  
Karalanglin Tiewsoh
Keyword(s):  
Nephrotic Syndrome ◽  
Spontaneous Bacterial Peritonitis ◽  
Urine Analysis ◽  
Opportunistic Pathogen ◽  
Total Leukocyte Count ◽  
Bacterial Peritonitis ◽  
Flight Mass Spectrometry ◽  
Source Of Infection ◽  
First Case ◽  
Identification Score

AbstractInfection is an important complication of childhood nephrotic syndrome (NS) and spontaneous bacterial peritonitis (SBP) is a frequently encountered one. We present a 7-year-old boy with NS who had decreased urine output, generalized body swelling, and abdominal pain. Urine analysis showed proteinuria of 50 mg/m2/d. Ascitic tap showed total leukocyte count of 100 cells/mm3, sugar of 67 mg/dL, and protein of 1.1 g/dL. Gram stain revealed gram-negative bacilli with pus cells and culture grown Leclercia adecarboxylata (LAD). LAD was identified using matrix-assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF MS) with an identification score of 2.0. The organism showed good susceptibility to common antibiotics. The boy had no direct contact with livestock and the source of infection remains speculative. Devitalized skin because of massive edema seems to be the most plausible site of entry for the organism. Our patient was started on ceftriaxone and improved. LAD is a rare opportunistic pathogen, which belongs to Enterobacteriaceae and usually causes soft tissue infections. As far as we know, this is the first case where it has caused peritonitis in a child with NS. We also reviewed other pediatric cases.

scholarly journals First Human Case of Meningitis and Sepsis in a Child Caused by Actinobacillus suis or Actinobacillus equuli

2015 ◽  
Vol 53 (6) ◽  
pp. 1990-1992 ◽  
Author(s):  
Carlotta Montagnani ◽  
Patrizia Pecile ◽  
Maria Moriondo ◽  
Patrizia Petricci ◽  
Sabrina Becciani ◽  
...  
Keyword(s):  
Opportunistic Pathogen ◽  
Human Case ◽  
Laser Desorption Ionization ◽  
Pcr Assay ◽  
Ionization Time ◽  
Content Type ◽  
Flight Mass Spectrometry ◽  
Source Of Infection ◽  
Actinobacillus Suis ◽  
Previous Visit

We report the first human case of meningitis and sepsis caused in a child byActinobacillus suisorA. equuli, a common opportunistic pathogen of swine or horses, respectively. Identification was performed by matrix-assisted laser desorption ionization–time of flight mass spectrometry and real-time PCR assay. A previous visit to a farm was suspected as the source of infection.

scholarly journals Specific Antibody Immunodeficiency Presenting With Streptococcal pneumonia-Induced Spontaneous Bacterial Peritonitis

2020 ◽  
Vol 11 ◽  
pp. 215265672092806
Author(s):  
Jack Jeskey ◽  
Akash Parida ◽  
Kelsey Graven ◽  
Robert Hostoffer
Keyword(s):  
Specific Antibody ◽  
Spontaneous Bacterial Peritonitis ◽  
Respiratory Infections ◽  
Recurrent Infections ◽  
Primary Immunodeficiency Disorder ◽  
Bacterial Peritonitis ◽  
First Case ◽  
Immunodeficiency Disorder ◽  
Insufficient Response ◽  
Acquired Immunodeficiency

Specific antibody immunodeficiency (SAD) is a primary immunodeficiency disorder characterized by normal levels of serum immunoglobulins (IgG, IgA, and IgM) associated with a dysfunctional immune response. SAD is associated with recurrent infections in the setting of an insufficient response to polysaccharide vaccinations. Streptococcus pneumoniae is a well-established cause of respiratory infections in SAD. However, there has been a paucity of evidence of pneumococcal peritonitis in SAD patients, being reported as spontaneous in acquired immunodeficiency such as AIDS. We report the first case of S. pneumoniae-induced peritonitis as the presenting sign for SAD.

scholarly journals EFFICACY OF CIPROFLOXACIN AND CEFOTAXIME IN PATIENTS WITH CIRRHOSIS LIVER PRESENTING WITH SPONTANEOUS BACTERIAL PERITONITIS TO A TERTIARY CARE HOSPITAL

2021 ◽  
Vol 29 (02) ◽  
Author(s):  
Zahidullah Khan ◽  
Ahmar Rashid ◽  
Iqbal Haider ◽  
Shams Suleman ◽  
Aliena Badshah ◽  
...  
Keyword(s):  
Spontaneous Bacterial Peritonitis ◽  
Tertiary Care ◽  
Care Hospital ◽  
Bacterial Peritonitis ◽  
Source Of Infection ◽  
Key Words Ciprofloxacin ◽  
Single Center Study ◽  
Group A ◽  
The Mean ◽  
Group B

Spontaneous Bacterial Peritonitis (SBP), a known complication of cirrhosis Liver is an acute bacterial infection of the peritoneum. Usually no source of infection is easily identifiable. Objective: To compare the efficacy of Ciprofloxacin and Cefotaxime in Cirrhosis Liver patients with SBP. Material and Methods: This prospective, comparative, single center study was conducted in the Department of Medicine, Khyber Teaching Hospital Peshawar from 1st October 2017 to 31st December 2018. A total of 300 admitted patients having Cirrhosis Liver with SBP were included in this study. The patients were randomized into Group A and Group B. Group A was treated with Intravenous Ciprofloxacin and Group B was treated with Intravenous Cefotaxime given twice daily for a period of 5 days. Diagnostic peritoneal paracentesis was done before the start of the treatment and repeated after 5 days therapy. Patients who were either non cirrhotic or had secondary bacterial peritonitis were excluded from the study. Results: A total of 300 Cirrhosis Liver patients with SBP were studied in two equal randomized groups. Out of these 168 were male and 132 were female. The mean age of patients in study was 51.14±11.9 years. The age ranged between 15-75 years. In Group A, 82 percent responded to ciprofloxacin and in group B, 86 percent responded to cefotaxime. Conclusion: Both intravenous ciprofloxacin and cefotaxime are effective in treating spontaneous bacterial peritonitis in patients with Cirrhosis Liver. Key Words: Ciprofloxacin, Cefotaxime, Spontaneous bacterial peritonitis, Efficacy.

scholarly journals SPONTANEOUS BACTERIAL PERITONITIS;

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Sana Jafri ◽  
Riaz Hussain Awan ◽  
SEEMA Nayab ◽  
Khadim Hussain Awan
Keyword(s):  
Ascitic Fluid ◽  
Spontaneous Bacterial Peritonitis ◽  
Cross Sectional Study ◽  
Total Leukocyte Count ◽  
Total Leucocyte Count ◽  
Cross Sectional ◽  
Bacterial Peritonitis ◽  
Patient’S Information ◽  
Culture Positive ◽  
Culture Negative

Objectives: To determine the frequency of culture positive (SBP) and culture negative spontaneous bacterial peritonitis (neutrocytic ascites) in cirrhotic population. Period: The six months (November 08th 2012 to May 07th 2013). Study Design: Descriptive cross-sectional study. Setting: Department of Gastroenterology at Liaquat National Hospital. Total 107 patients of liver cirrhosis with ascites admitted in our hospital. All the specific patients had ascitic fluid DR and C/S were enrolled and evaluated. Patient’s information was recorded on proforma and analyzed by using SPSS-20.0. Results: SBP was detected in 10 7 patients aged between 18 and 67 years included in study. Out of 107 patients with SBP 23 (21.5%) were culture positive while 84 (78.5%) were culture negative. In the culture positive group,19 (82.6%) were male and 4 (17.4%) were female while in culture negative group 46 (54.76%) were male and 38 (45.24%) were female. The ascitic fluid mean total leukocyte count in patients with culture positive ascites was 5140.39 /mm3 and in culture negative ascites was 2654.26 / mm3. The ascitic fluid mean neutrophils count in subjects with culture positive ascites was 75.57% and in culture negative ascites was 76.02%. The ascitic fluid mean lymphocyte count in individuals had culture positive ascites was 26.09 % and in subjects had culture negative ascites was 23.97%. Conclusion: Frequency of culture negative ascites is greater than culture positive ascites in SBP. The ascitic fluid mean total leucocyte count for culture positive ascites is greater than culture negative ascites. Mortality is high in culture positive ascites.

scholarly journals Adult Nephrotic Syndrome with Spontaneous Bacterial Peritonitis

2005 ◽  
Vol 7 (2) ◽  
pp. 90-92
Author(s):  
Ramazan Danis ◽  
Sehmus Ozmen ◽  
Serif Yilmaz ◽  
Orhan Yazanel
Keyword(s):  
Nephrotic Syndrome ◽  
Spontaneous Bacterial Peritonitis ◽  
Bacterial Peritonitis

scholarly journals Spontaneous Bacterial Peritonitis in an Adult Patient with Nephrotic Syndrome.

1993 ◽  
Vol 32 (9) ◽  
pp. 719-721 ◽  
Author(s):  
Akihiko KATO ◽  
Takayasu OHTAKE ◽  
Ryuuichi FURUYA ◽  
Toshiaki NAKAJIMA ◽  
Masaharu OHURA ◽  
...  
Keyword(s):  
Nephrotic Syndrome ◽  
Adult Patient ◽  
Spontaneous Bacterial Peritonitis ◽  
Bacterial Peritonitis

scholarly journals Spontaneous bacterial peritonitis and pneumonia caused by Bordetella bronchiseptica

2011 ◽  
Vol 6 (07) ◽  
pp. 588-591 ◽  
Author(s):  
Nomonde Ritta Dlamini ◽  
Ahmed Bhamjee ◽  
Penelope Levick ◽  
Evelyn Uniacke ◽  
Husna Ismail ◽  
...  
Keyword(s):  
Liver Disease ◽  
Spontaneous Bacterial Peritonitis ◽  
Human Infection ◽  
Bordetella Bronchiseptica ◽  
Bacterial Peritonitis ◽  
Primary Peritonitis ◽  
First Case ◽  
Acquired Immunodeficiency ◽  
Immunodeficiency Syndrome ◽  
Common Infection

Bordetella bronchiseptica is a rare cause of invasive human infection. The most common infection in humans is the respiratory tract infection and it is usually associated with immunosuppression, particularly acquired immunodeficiency syndrome (AIDS). We report a case of a pneumonia and peritonitis in a 42-year-old female with alcoholic liver disease. The patient died despite treatment with antibiotics. This case illustrates the potential virulence of B. bronchiseptica in susceptible patients and to our knowledge it is the first case of primary peritonitis due to this organism.

scholarly journals BACTERIOLOGY OF SPONTANEOUS BACTERIAL PERITONITIS

2020 ◽  
Vol 14 (04) ◽  
pp. 551-555
Author(s):  
DILSHAD MUHAMMAD ◽  
Aamir Husain ◽  
MASOOD JAVED ◽  
Abdul Qayyum ◽  
MUHAMMAD NAEEM IQBAL
Keyword(s):  
Klebsiella Pneumoniae ◽  
Ascitic Fluid ◽  
Spontaneous Bacterial Peritonitis ◽  
Positive Culture ◽  
E Coli ◽  
Bacterial Peritonitis ◽  
Source Of Infection ◽  
Digestive Diseases ◽  
Study Setting ◽  
Culture Negative

Cirrhosis is a major cause of mortality worldwide and is the most common non neoplastic cause ofdeath among hepatobiliary and digestive diseases. Ascites is often among the first signs of de-compensation in patientswith chronic liver disease. Spontaneous Bacterial Peritonitis (SBP) (with out any source of infection) occurs in 30% ofpatients with ascites. Common causative organisms include escherichia coli, pneumococcus, Klebsiella and anaerobes.It has a 25% mortality and recurs in 70% of patients within a year. Objective: To determine the pathological agentscausing SBP in patients with liver cirrhosis. Design: Descriptive study. Setting: Medical Ward Allied and K.M. HospitalsFaisalabad. Period: From 17 Nov 2004 to 15 May 2005. Patients & Materials. Fifty patients of either sex havingcirrhosis of liver and ascites were included according to the criteria i.e ascitic fluid leukocyte count of >500 cells/L or>250 PMN, while results of bacterial cultures of ascitic fluid were pending. Results: Out of 50 patients, 27 (54%) weremales and 23 (46%) females. Mean age of whole the population was found to be 51±12.49) yrs. Classical spontaneousbacterial peritonitis was present in 27 patients and Culture Negative Neutrocytic Ascites (CNNA) in 23(46%) patients.Out of 50 patients, 27(54%) samples of ascitic fluid showed positive culture reports. E Coli was isolated in 9(18%)cases. Klebsiella pneumoniae in 6(12%), streptococcus pneumoniae 4(8%), staphylococcus aureus 2(4%),pseudomonas aeruginosa 2(4%). Acinobacter 2(4%) and proteus mirabilis 2(4%). E.Coli is the commonest organismfollowed by klebsiella pneumoniae.

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