Spontaneous bacterial peritonitis due to Clostridium perfringens in a patient with liver cirrhosis and pure red cell aplasia

Hisashi Tsurumi, Kenzaburo Tani, Kenji Tajika, Seiji Irie, Yukio Kobayashi, Arinobu Tojo, Shin ichiro Okamoto, Keiya Ozawa, Hisataka Moriwaki, Yasutoshi Muto, Shigetaka Asano

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4 Citations (Scopus)

Abstract

A 63-year-old man with decompensated liver cirrhosis and pure red cell aplasia complained of pyrexia, abdominal distention and abdominal pain. A diagnosis of spontaneous bacterial peritonitis (SBP), Conn's syndrome, was made upon the isolation of an anaerobe Clostridium perfringens from both ascitic fluid and peripheral blood. The bacteria were found to be susceptible to piperacillin, and administration of the antimicrobial agent markedly improved his SBP. The anaerobes should be kept in mind as one of the possible pathogens of SBP, although anaerobic infection has been reported to be quite rare in the disease.

Original languageEnglish
Pages (from-to)662-667
Number of pages6
JournalGastroenterologia Japonica
Volume27
Issue number5
DOIs
Publication statusPublished - 1992 Oct 1
Externally publishedYes

Keywords

  • Clostridium perfringens
  • Conn's syndrome
  • anaerobic bacteria
  • spontaneous bacterial peritonitis

ASJC Scopus subject areas

  • Gastroenterology

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    Tsurumi, H., Tani, K., Tajika, K., Irie, S., Kobayashi, Y., Tojo, A., Okamoto, S. I., Ozawa, K., Moriwaki, H., Muto, Y., & Asano, S. (1992). Spontaneous bacterial peritonitis due to Clostridium perfringens in a patient with liver cirrhosis and pure red cell aplasia. Gastroenterologia Japonica, 27(5), 662-667. https://doi.org/10.1007/BF02774983