Liver Cirrhosis Complicated by Spontaneous Bacterial Peritonitis Caused by the Burkholderia cepacia Complex
A 79-year-old man with underlying alcoholic liver cirrhosis presented with complaints of a fever, abdominal pain, and difficulty walking. A diagnostic work-up revealed liver atrophy and chylous ascites, and spontaneous bacterial peritonitis (SBP) was diagnosed based on the cell and neutrophil counts...
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| Veröffentlicht in: | Internal Medicine 2021/11/01, Vol.60(21), pp.3435-3440 |
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| creator | Hamahata, Arisa Mitsusada, Seiya Iwata, Tomoyuki Nakajima, Ken Ogawa, Yuki Miyazaki, Akira Kobayashi, Marina Fujiwara, Yushi Asano, Yu Mabuchi, Kazuhisa Yoshida, Miki Misawa, Ayako |
| description | A 79-year-old man with underlying alcoholic liver cirrhosis presented with complaints of a fever, abdominal pain, and difficulty walking. A diagnostic work-up revealed liver atrophy and chylous ascites, and spontaneous bacterial peritonitis (SBP) was diagnosed based on the cell and neutrophil counts. The Burkholderia cepacia complex (Bcc) was detected on blood and ascitic fluid cultures. Although broad-spectrum antibiotic therapy was initiated, the infection was difficult to control, and the patient died of multiple organ failure. Bcc is often multidrug-resistant and difficult to treat. SBP caused by Bcc has been rarely reported and may have a serious course, thus necessitating caution. |
| doi_str_mv | 10.2169/internalmedicine.7170-21 |
| format | Article |
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A diagnostic work-up revealed liver atrophy and chylous ascites, and spontaneous bacterial peritonitis (SBP) was diagnosed based on the cell and neutrophil counts. The Burkholderia cepacia complex (Bcc) was detected on blood and ascitic fluid cultures. Although broad-spectrum antibiotic therapy was initiated, the infection was difficult to control, and the patient died of multiple organ failure. Bcc is often multidrug-resistant and difficult to treat. SBP caused by Bcc has been rarely reported and may have a serious course, thus necessitating caution.</description><identifier>ISSN: 0918-2918</identifier><identifier>EISSN: 1349-7235</identifier><identifier>DOI: 10.2169/internalmedicine.7170-21</identifier><identifier>PMID: 33994438</identifier><language>eng</language><publisher>TOKYO: The Japanese Society of Internal Medicine</publisher><subject>Ascites ; Ascitic fluid ; Atrophy ; Burkholderia cepacia ; Burkholderia cepacia complex ; Case Report ; Cirrhosis ; Fever ; General & Internal Medicine ; Internal medicine ; Leukocytes (neutrophilic) ; Life Sciences & Biomedicine ; Liver ; Liver cirrhosis ; Medicine, General & Internal ; Multidrug resistance ; multidrug-resistant bacteria ; Peritonitis ; Science & Technology ; spontaneous bacterial peritonitis (SBP)</subject><ispartof>Internal Medicine, 2021/11/01, Vol.60(21), pp.3435-3440</ispartof><rights>2021 by The Japanese Society of Internal Medicine</rights><rights>Copyright Japan Science and Technology Agency 2021</rights><rights>Copyright © 2021 by The Japanese Society of Internal Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>1</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000715097500013</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c644t-65892f0595eb6ef9d50c9d224d562cad04100875796a825d079f6dc4189d59bc3</citedby><cites>FETCH-LOGICAL-c644t-65892f0595eb6ef9d50c9d224d562cad04100875796a825d079f6dc4189d59bc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8627796/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8627796/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,1884,27929,27930,39263,53796,53798</link.rule.ids></links><search><creatorcontrib>Hamahata, Arisa</creatorcontrib><creatorcontrib>Mitsusada, Seiya</creatorcontrib><creatorcontrib>Iwata, Tomoyuki</creatorcontrib><creatorcontrib>Nakajima, Ken</creatorcontrib><creatorcontrib>Ogawa, Yuki</creatorcontrib><creatorcontrib>Miyazaki, Akira</creatorcontrib><creatorcontrib>Kobayashi, Marina</creatorcontrib><creatorcontrib>Fujiwara, Yushi</creatorcontrib><creatorcontrib>Asano, Yu</creatorcontrib><creatorcontrib>Mabuchi, Kazuhisa</creatorcontrib><creatorcontrib>Yoshida, Miki</creatorcontrib><creatorcontrib>Misawa, Ayako</creatorcontrib><title>Liver Cirrhosis Complicated by Spontaneous Bacterial Peritonitis Caused by the Burkholderia cepacia Complex</title><title>Internal Medicine</title><addtitle>INTERNAL MED</addtitle><addtitle>Intern. Med.</addtitle><description>A 79-year-old man with underlying alcoholic liver cirrhosis presented with complaints of a fever, abdominal pain, and difficulty walking. A diagnostic work-up revealed liver atrophy and chylous ascites, and spontaneous bacterial peritonitis (SBP) was diagnosed based on the cell and neutrophil counts. The Burkholderia cepacia complex (Bcc) was detected on blood and ascitic fluid cultures. Although broad-spectrum antibiotic therapy was initiated, the infection was difficult to control, and the patient died of multiple organ failure. Bcc is often multidrug-resistant and difficult to treat. SBP caused by Bcc has been rarely reported and may have a serious course, thus necessitating caution.</description><subject>Ascites</subject><subject>Ascitic fluid</subject><subject>Atrophy</subject><subject>Burkholderia cepacia</subject><subject>Burkholderia cepacia complex</subject><subject>Case Report</subject><subject>Cirrhosis</subject><subject>Fever</subject><subject>General & Internal Medicine</subject><subject>Internal medicine</subject><subject>Leukocytes (neutrophilic)</subject><subject>Life Sciences & Biomedicine</subject><subject>Liver</subject><subject>Liver cirrhosis</subject><subject>Medicine, General & Internal</subject><subject>Multidrug resistance</subject><subject>multidrug-resistant bacteria</subject><subject>Peritonitis</subject><subject>Science & Technology</subject><subject>spontaneous bacterial peritonitis (SBP)</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><recordid>eNqNkV9rFDEUxYModl39DgO-CDI1f2eSF8EOWoWFCupzyGbudLOdTdYkU-23b8ZdtlhfJHBvIL9zcrgXoYrgc0oa9c75DNGbcQe9s87DeUtaXFPyBC0I46puKRNP0QIrImtayhl6kdIWYyZbRZ-jM8aU4pzJBbpZuVuIVedi3ITkUtWF3X501mToq_Vd9W0ffDYewpSqC2PLt86M1dfScvAuzwIzpQObN1BdTPFmE8Z-5ioLe2NL_-MJv1-iZ4MZE7w69iX68enj9-5zvbq6_NJ9WNW24TzXjZCKDlgoAesGBtULbFVPKe9FQ63pMScYy1a0qjGSih63amh6y4ksqFpbtkTvD777aV0mZMHnaEa9j25n4p0Oxum_X7zb6Otwq2VD2-JaDN4cDWL4OUHKeueShXE8DEJTQSVnlHFc0NeP0G2Y5tXMlCKcMlnOEskDZWNIKcJwCkOwnjeqH29UzxstTw_SX7AOQ7IOvIWTHGPcEoFVK8qNsM5lk13wXZh8LtK3_y8t9NWB3qZsrh84E7OzI_ybsJnzzfUY9UTajYkaPLsHcYnXxw</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Hamahata, Arisa</creator><creator>Mitsusada, Seiya</creator><creator>Iwata, Tomoyuki</creator><creator>Nakajima, Ken</creator><creator>Ogawa, Yuki</creator><creator>Miyazaki, Akira</creator><creator>Kobayashi, Marina</creator><creator>Fujiwara, Yushi</creator><creator>Asano, Yu</creator><creator>Mabuchi, Kazuhisa</creator><creator>Yoshida, Miki</creator><creator>Misawa, Ayako</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Soc Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20211101</creationdate><title>Liver Cirrhosis Complicated by Spontaneous Bacterial Peritonitis Caused by the Burkholderia cepacia Complex</title><author>Hamahata, Arisa ; Mitsusada, Seiya ; Iwata, Tomoyuki ; Nakajima, Ken ; Ogawa, Yuki ; Miyazaki, Akira ; Kobayashi, Marina ; Fujiwara, Yushi ; Asano, Yu ; Mabuchi, Kazuhisa ; Yoshida, Miki ; Misawa, Ayako</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c644t-65892f0595eb6ef9d50c9d224d562cad04100875796a825d079f6dc4189d59bc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Ascites</topic><topic>Ascitic fluid</topic><topic>Atrophy</topic><topic>Burkholderia cepacia</topic><topic>Burkholderia cepacia complex</topic><topic>Case Report</topic><topic>Cirrhosis</topic><topic>Fever</topic><topic>General & Internal Medicine</topic><topic>Internal medicine</topic><topic>Leukocytes (neutrophilic)</topic><topic>Life Sciences & Biomedicine</topic><topic>Liver</topic><topic>Liver cirrhosis</topic><topic>Medicine, General & Internal</topic><topic>Multidrug resistance</topic><topic>multidrug-resistant bacteria</topic><topic>Peritonitis</topic><topic>Science & Technology</topic><topic>spontaneous bacterial peritonitis (SBP)</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hamahata, Arisa</creatorcontrib><creatorcontrib>Mitsusada, Seiya</creatorcontrib><creatorcontrib>Iwata, Tomoyuki</creatorcontrib><creatorcontrib>Nakajima, Ken</creatorcontrib><creatorcontrib>Ogawa, Yuki</creatorcontrib><creatorcontrib>Miyazaki, Akira</creatorcontrib><creatorcontrib>Kobayashi, Marina</creatorcontrib><creatorcontrib>Fujiwara, Yushi</creatorcontrib><creatorcontrib>Asano, Yu</creatorcontrib><creatorcontrib>Mabuchi, Kazuhisa</creatorcontrib><creatorcontrib>Yoshida, Miki</creatorcontrib><creatorcontrib>Misawa, Ayako</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hamahata, Arisa</au><au>Mitsusada, Seiya</au><au>Iwata, Tomoyuki</au><au>Nakajima, Ken</au><au>Ogawa, Yuki</au><au>Miyazaki, Akira</au><au>Kobayashi, Marina</au><au>Fujiwara, Yushi</au><au>Asano, Yu</au><au>Mabuchi, Kazuhisa</au><au>Yoshida, Miki</au><au>Misawa, Ayako</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Liver Cirrhosis Complicated by Spontaneous Bacterial Peritonitis Caused by the Burkholderia cepacia Complex</atitle><jtitle>Internal Medicine</jtitle><stitle>INTERNAL MED</stitle><addtitle>Intern. Med.</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>60</volume><issue>21</issue><spage>3435</spage><epage>3440</epage><pages>3435-3440</pages><artnum>7170-21</artnum><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>A 79-year-old man with underlying alcoholic liver cirrhosis presented with complaints of a fever, abdominal pain, and difficulty walking. A diagnostic work-up revealed liver atrophy and chylous ascites, and spontaneous bacterial peritonitis (SBP) was diagnosed based on the cell and neutrophil counts. The Burkholderia cepacia complex (Bcc) was detected on blood and ascitic fluid cultures. Although broad-spectrum antibiotic therapy was initiated, the infection was difficult to control, and the patient died of multiple organ failure. Bcc is often multidrug-resistant and difficult to treat. 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| source | PubMed Central Open Access; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; PubMed Central |
| subjects | Ascites Ascitic fluid Atrophy Burkholderia cepacia Burkholderia cepacia complex Case Report Cirrhosis Fever General & Internal Medicine Internal medicine Leukocytes (neutrophilic) Life Sciences & Biomedicine Liver Liver cirrhosis Medicine, General & Internal Multidrug resistance multidrug-resistant bacteria Peritonitis Science & Technology spontaneous bacterial peritonitis (SBP) |
| title | Liver Cirrhosis Complicated by Spontaneous Bacterial Peritonitis Caused by the Burkholderia cepacia Complex |
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