Spontaneous bacterial peritonitis caused by Streptococcus bovis: case series and review of the literature

2002 ◽  
Vol 97 (6) ◽  
pp. 1476-1479 ◽  
Author(s):  
Ratha-Korn Vilaichone ◽  
Varocha Mahachai ◽  
Pinit Kullavanijaya ◽  
Pongpun Nunthapisud
2010 ◽  
Vol 14 (3) ◽  
pp. 294-296 ◽  
Author(s):  
Rosmari Hörner ◽  
Adenilde Salla ◽  
Loiva Otonelli de Oliveira ◽  
Nara Lucia Frasson Dal Forno ◽  
Roselene Alves Righi ◽  
...  

2010 ◽  
Vol 14 (3) ◽  
pp. 294-296 ◽  
Author(s):  
Rosmari Hörner ◽  
Adenilde Salla ◽  
Loiva Otonelli de Oliveira ◽  
Nara Lucia Frasson Dal Forno ◽  
Roselene Alves Righi ◽  
...  

2015 ◽  
Vol 7 (3) ◽  
Author(s):  
Marco Falcone ◽  
Alessandro Russo ◽  
Giovanni Pacini ◽  
Manuela Merli ◽  
Mario Venditti

Gram-positive cocci are emerging causes of spontaneous bacterial peritonitis (SBP), especially in patients with healthcare-associated infections. We report the case of a 68-year-old man with hepatitis C virus and alcohol-related cirrhosis who developed SBP due to methicillin-resistant <em>Staphylococcus</em> <em>aureus</em> treated with daptomycin. We discuss the potential role of daptomycin in this setting with a review of the literature about the use of daptomycin in primary or secondary bacterial peritonitis.


Author(s):  
Emidio Scarpellini ◽  
Carmelo Luigiano ◽  
Gianluca Svegliati-Baroni ◽  
Dan Dumitrascu ◽  
Tiziana Larussa ◽  
...  

Background and Aims: liver cirrhosis (LC) of any origin has always been a source of several emergencies for physicians working at the Emergency Department (ER). LC patients can present with several complications that are sometimes difficult to recognize and treat. Thus, we reviewed the literature evidences for the diagnosis and management of several LC related emergencies. Methods: We conducted a search on the main medical databases for papers, reviews, metanalyses, case series, and RCTs using the following keywords and their associations: liver cirrhosis, variceal hemorrhage, ascites, hepatic encephalopathy, spontaneous bacterial peritonitis, hepato-renal syndrome, emergency. Results: Main LC emergencies are upper gastrointestinal hemorrhage, decompensated ascites and spontaneous bacterial peritonitis, hepatic encephalopathy, hepato-renal syndrome. Their management is partly medical and interventional. Very often, the final cure of some complications, such as hepato-renal syndrome, is represented by liver transplantation. Conclusions: Although LC prevalence is going to fall in the following years, due to HBV and HCV optimized treatments, its complications represent a significant admission percentage at the ER and challenge for physicians’ skills.


2006 ◽  
Vol 101 ◽  
pp. S168-S169
Author(s):  
Abdul Qadir ◽  
Dihloren Peralta ◽  
Rashid Anjum ◽  
Carl Guillaume

2012 ◽  
Vol 46 (10) ◽  
pp. 1413-1418 ◽  
Author(s):  
Jolene F Siple ◽  
Jessica M Morey ◽  
Tracy E Gutman ◽  
Kathy L Weinberg ◽  
Peggie D Collins

Objective: To evaluate the literature regarding the efficacy and safety of proton pump inhibitors (PPIs) when they are used in patients with cirrhosis and ascites. Data Sources: A literature search was conducted using MEDLINE (1966-May 2012) and Web of Science (1990-May 2012) with the terms proton pump inhibitor, antisecretory therapy, cirrhosis, ascites, spontaneous bacterial peritonitis, and Clostridium difficile. The search was restricted to articles published in English on the use of PPIs in humans. Reference citations from identified published articles were reviewed for relevant information. Study Selection and Data Extraction: All articles in English identified from the data sources were evaluated for inclusion. One case series, 8 retrospective case-control trials, and 1 meta-analysis were identified. Data Synthesis: Cirrhosis may cause complications such as portal hypertension, esophageal varices, and ascites. Patients may be prescribed PPIs without clear indications or because of their propensity to develop upper gastrointestinal symptoms and bleeding. However, gastric acidity is a major nonspecific defense mechanism and there is insufficient evidence on the need for chronic acid suppression in patients with cirrhosis. It is postulated that the portal hypertensive environment in cirrhosis and the acid suppression from PPIs can increase the risk of spontaneous bacterial peritonitis and C. difficile infection in patients with cirrhosis with ascites. Several retrospective studies and 1 meta-analysis have confirmed this association. Conclusions: Patients with cirrhosis and ascites should be monitored carefully while on PPIs for a possible increased risk of infection from spontaneous bacterial peritonitis and C. difficile. Prospective randomized trials are needed to confirm this association. Clinicians should be aware of this lesser known adverse effect of PPIs.


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