Spontaneous bacterial peritonitis due to Plesiomonas shigelloides

J P Alcañiz1, B de Cuenca Morón, M Gómez Rubio

  • 1Department of Gastroenterology, Getafe University Hospital, Madrid, Spain.

Insights

Spontaneous bacterial peritonitis (SBP) is a common complication in patients with cirrhosis and ascites. This case highlights Plesiomonas shigelloides as a rare cause of SBP, broadening the etiological spectrum.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Hepatology

Background:

  • Spontaneous bacterial peritonitis (SBP) is a serious infection in patients with liver cirrhosis and ascites.
  • The causative agents of SBP typically include common enteric bacteria.

Observation:

  • This report details a rare case of SBP.
  • The infection was caused by Plesiomonas shigelloides, an unusual pathogen in this context.

Findings:

  • Plesiomonas shigelloides can be an etiological agent of spontaneous bacterial peritonitis.
  • This finding expands the known spectrum of pathogens responsible for SBP in cirrhotic patients.

Implications:

  • Clinicians should consider a broader range of microorganisms when diagnosing SBP in cirrhotic patients.
  • Further research may be warranted to understand the prevalence and risk factors for SBP caused by Plesiomonas shigelloides.

Related Concept Videos

Bacterial Gastroenteritis01:18

Bacterial Gastroenteritis

Bacterial gastroenteritis, characterized by diarrhea, abdominal cramps, and vomiting, is often caused by ingestion of contaminated food or water and is frequently associated with pathogenic Escherichia coli strains. These microbes exploit two principal mechanisms to inflict disease.Shiga toxin–producing E. coli, also referred to as STEC—notably O157:H7—release Shiga toxins that target ribosomes, blocking protein synthesis. The B subunit of the toxin binds the host glycolipid receptor...
Giardiasis01:12

Giardiasis

Giardiasis is a globally prevalent intestinal infection caused by the protozoan parasite Giardia duodenalis (also known as G. lamblia or G. intestinalis). This flagellated protozoan is the most frequently identified intestinal parasite in the United States and worldwide. Transmission primarily occurs via the fecal-oral route, with infection arising from ingestion of water or food contaminated with cysts. Individuals in low-resource settings, international travelers, outdoor enthusiasts, daycare...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Acute Pancreatitis I: Introduction01:25

Acute Pancreatitis I: Introduction

Acute pancreatitis is the sudden inflammation of the pancreas caused by the early activation of digestive enzymes, leading to the autodigestion of pancreatic tissue. This results in local inflammation and, in severe cases, systemic complications.EtiologyUnderstanding the underlying causes is crucial, as identifying the etiology guides treatment and anticipates complications. Acute pancreatitis can be triggered by various factors, typically grouped into the following clinical categories.Biliary...