Article information
Abstract
Spontaneous bacterial peritonitis (SBP) is a frequent and severe complication that occurs in patient with cirrhosis and ascites. It occurs in 10% to 30% of patients admitted to hospital. The organisms that cause SBP are predominantly enteric. Escherichia coli is the most frequent recovered pathogen, and Gram-positive bacteria, mainly Staphylococcus spp., are being considered an emerging causative agent of SBP. Streptococcus bovis that may be found as part of the commensal bowel flora in about 10% of healthy adults constitute an uncommon cause of peritonitis that was first reported in 1994. We describe the first case of SBP at the University Hospital of Santa Maria (HUSM) caused by S. bovis, resistant to the antibiotics erythromycin and clindamycin (inducible clindamycin resistance detected by disk diffusion test using the D-zone test).
Keywords:
peritonitis
Streptococcus bovis
cirrhosis
ascites
Full text is only aviable in PDF
References
[1.]
A. Rimola, G.G. Tsao, M. Navasa, et al.
Diagnosis and prophylaxis of spontaneous bacterial peritonitis: a consensus document.
J Hepatol, 32 (2000), pp. 142-153
[2.]
G. Garcia-Tsao.
Spontaneous bacterial peritonitis.
Gastroenterol Clin N Am, 21 (1992), pp. 257-275
[3.]
G. Pinzello, R. Somonetti, C. Camma, et al.
Spontaneous bacterial peritonitis: an update.
Gastroenterol Int, 6 (1993), pp. 54-60
[4.]
N. Singh, D.L. Paterson, F.Y. Chang, et al.
Methicillin-resistant Staphylococcus aureus: the other emerging resistant gram-positive coccus among liver transplant recipients.
Clin Infect Dis, 30 (2000), pp. 322-327
[5.]
F.Y. Chang, N. Singh, T. Gayowski, et al.
Staphylococcus aureus in patients with cirrhosis prospective assesment of association with infection.
Infect Control Hosp Epidemiol, 19 (1998), pp. 328-332
[6.]
R.K. Vilaichone, V. Mahachai, P. Kullavanijaya, et al.
Spontaneous bacterial peritonitis caused by Streptococcus bovis: case series and review of the literature.
Am J Gastroenterol, 7 (2002), pp. 1476-1479
[7.]
I.S. Lossos, M.J. Schwaber, T. Levin, et al.
Spontaneous peritonitis caused by Streptococcus bovis.
J Clin Gastroenterol, 19 (1994), pp. 346
[8.]
Z. Ackerman, R. Eliakim, R. Stalnikowicz, et al.
Spontaneous peritonitis caused by Streptococcus bovis: search for colonic neoplasia.
J Clin Gastroenterol, 21 (1995), pp. 263
[9.]
H. Gloria, J. Ducla-Soares, F. Sorejo, et al.
Streptococcus bovis spontaneous bacterial peritonitis in patient with alcoholic cirrhosis.
Eur J Gastroenterol Hepatol, 8 (1996), pp. 823-824
[10.]
G. Macedo, H. Queiroz, T. Ribeiro.
Liver biopsy as a cause of Streptococcus bovis peritonitis.
J Clin Gastroenterol, 24 (1997), pp. 292-293
[11.]
J.A. Shad, W.R. Schindler.
Spontaneous peritonitis due Streptococcus bovis.
Am J Gastroenterol, 94 (1999),
[12.]
L. Genuth.
Re: Shad and Schindler's report on spontaneous peritonitis due to Streptococcus bovis.
Am J Gastroenterol, 95 (2000), pp. 840-841
[13.]
M.S. Eledrisi, M.J. Zuckerman, H. Ho.
Spontaneous Bacterial Peritonitis caused by Streptococcus bovis.
Am J Gastroenterol, 95 (2000), pp. 1110-1111
[14.]
S.S.Y. Wong, P.C.Y. Woo, P.L. Ho, T.K.F. Wang.
Continuous Ambulatory Peritoneal Dialysis-Related Peritonitis Caused by Streptococcus bovis.
Eur J Clin Microbiol Infect Dis, 22 (2003), pp. 424-426
[15.]
J. Waisberg, C.O. Matheus, J. Pimenta.
Infectious endocarditis from Streptococcus bovis associated with colonic carcinoma: case report and literature review.
Arq Gastroenterol, 39 (2002), pp. 177-180
[16.]
L.J. Teng, P.R. Hsueh, S.W. Ho, K.T. Luh.
High Prevalence of Inducible Erythromycin Resistance among Streptococcus bovis Isolates in Taiwan.
Antimicrob Agents Chemother, (2001), pp. 3362-3365
[17.]
E.W. Koneman, S.D. Allen, W.M. Janda, et al.
Diagnóstico Microbiológico – Texto e Atlas Colorido.
Guanabara Koogan, (2008),
[18.]
I.R. Avial, C.R. Avial, E. Culebras, et al.
In vitro activity of telithromycin against Viridans Group Streptococci and Streptococcus bovis from blood: antimicrobial susceptibility patters in different groups of species.
Antimicrob Agents Chemother, 49 (2005), pp. 820-823
[19.]
R. Leclercq, C. Huet, M. Picherot, et al.
Genetic basis of antibiotic resistance in clinical isolates of Streptococcus gallolyticus (Streptococcus bovis).
Antimicrob Agents Chemother, 49 (2005), pp. 646-648
[20.]
Clinical and Laboratory Standards Institute, 2008. Performance standards for antimicrobial susceptibility testing, Eighteenth Informational Supplement, document M100-S18. Wayne, PA, USA: CLSI.
Copyright © 2010. Elsevier Editora Ltda.. All rights reserved
