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[Campylobacter fetus, an infrequent microbe, as a cause of spontaneous bacterial peritonitis in cirrhosis]
Abstract:
Campylobacter fetus has been implicated in the etiology of sepsis and bacteriemias in immunosupressed subjects. In a few cases, it has also been reported to be responsible for spontaneous bacterial peritonitis in cirrhotic patients. We describe the clinical picture of a woman with terminal liver cirrhosis who had bacteriemia and spontaneous bacterial peritonitis caused by this agent. We argue about the history of cleansing enemas and their probable role in the development of the infection. We stress the excellent response to the antibiotic treatment.
Insights
Campylobacter fetus caused serious infections like bacteremia and spontaneous bacterial peritonitis in a liver cirrhosis patient. Prompt antibiotic treatment led to a successful recovery, highlighting effective therapeutic strategies.
Area of Science:
- Infectious Diseases
- Hepatology
- Microbiology
Background:
- Campylobacter fetus is a known cause of sepsis and bacteremia, particularly in immunocompromised individuals.
- Spontaneous bacterial peritonitis (SBP) is a serious complication in patients with liver cirrhosis.
- Campylobacter fetus has been an infrequent cause of SBP in cirrhotic patients.
Observation:
- A case of a woman with terminal liver cirrhosis who developed bacteremia and SBP is presented.
- The patient had a history of receiving cleansing enemas prior to the infection.
- The clinical presentation and diagnostic findings are detailed.
Findings:
- Campylobacter fetus was identified as the causative agent of bacteremia and SBP.
- The history of enemas was considered a potential contributing factor to the infection's development.
- The patient showed a significant positive response to antibiotic therapy.
Implications:
- This case highlights Campylobacter fetus as a potential pathogen in cirrhotic patients with SBP.
- The role of invasive procedures like enemas in the pathogenesis of SBP warrants further investigation.
- Effective antibiotic treatment can lead to favorable outcomes in such complex cases.