https://scholars.lib.ntu.edu.tw/handle/123456789/506905
標題: | Recurrent bacteremic peritonitis caused by Enterococcus cecorum in a patient with liver cirrhosis | 作者: | PO-REN HSUEH LEE-JENE TENG Chen Y.-C. PAN-CHYR YANG Ho S.-W. KWEN-TAY LUH |
公開日期: | 2000 | 卷: | 38 | 期: | 6 | 起(迄)頁: | 2450_2452 | 來源出版物: | Journal of Clinical Microbiology | 摘要: | Enterococcus cecorum (formerly Streptococcus cecorum), originally isolated from poultry intestines, has rarely been encountered in human diseases. A 60-year-old man with liver cirrhosis and hepatocellular carcinoma developed peritonitis on the seventh day of his hospitalization. Cultures of one blood sample and one ascites fluid sample obtained on that day both grew E. cecorum. The patient received intravenous cefoxitin therapy and initially responded well. Unfortunately, another episode of peritonitis associated with septic shock developed 24 days after the start of treatment, and culture of one blood specimen yielded the same organism. The isolates were identified by the conventional biochemical tests, the API Rapid ID 32 Strep system, and the API ZYM system (both systems from bioMerieux, Marcy L'Etoile, France) and were further confirmed by cellular fatty acid chromatography and 16S rRNA gene partial sequencing. The identical biotype, antibiotype, and random amplified polymorphic DNA pattern of the three isolates documented the long- term persistence of this organism in the patient. To the best of our knowledge, this is the first clinical description of recurrent bacteremic peritonitis caused by E. cecorum. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/506905 | ISSN: | 0095-1137 | DOI: | 10.1128/.38.6.2450-2452.2000 | SDG/關鍵字: | cefoxitin; adult; article; ascites; bacteremia; bacterial peritonitis; bacterium culture; bacterium isolate; case report; enterococcus cecorum; gene sequence; human; liver cell carcinoma; liver cirrhosis; male; minimum inhibitory concentration; priority journal; random amplified polymorphic DNA; recurrent infection; RNA gene; septic shock; Bacteria (microorganisms); Enterococcus cecorum; Posibacteria; Streptococcus |
顯示於: | 醫學檢驗暨生物技術學系 |
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