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BMJ Case Rep. 2013 Feb 14;2013. pii: bcr2012008406. doi: 10.1136/bcr-2012-008406.

An unusual cause of spontaneous bacterial peritonitis due to Campylobacter fetus with alcoholic liver cirrhosis.

Author information

1
Department of General Internal Medicine and Infectious Diseases, Rakuwakai Otowa Hospital, Kyoto, Japan. hatayoshiyoshi@gmail.com

Abstract

A 40-year-old man with severe alcoholic liver cirrhosis with a 2-day history of fatigue and abdominal pain was admitted. He reported eating sushi and sliced raw chicken a few days previously. His abdomen was distended, with shifting dullness. Based on the patient's history, physical examination and the results of abdominocentesis, he was diagnosed as having spontaneous bacterial peritonitis; blood and ascitic fluid cultures were positive for Campylobacter fetus. The patient was started on treatment with cefotaxime, which was switched after 1 week to ampicillin for an additional 3 weeks. The patient was successfully treated with the 4-week course of intravenous antibiotic therapy.

PMID:
23417384
PMCID:
PMC3603790
DOI:
10.1136/bcr-2012-008406
[Indexed for MEDLINE]
Free PMC Article

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