Liver cirrhosis with synchronous gas gangrene and spontaneous bacterial peritonitis due to E. coli.

Abstract:

:We report a case of synchronous gas gangrene and spontaneous bacterial peritonitis associated with liver cirrhosis. The patient was a 52-year-old man who was being followed for decompensated liver cirrhosis. He experienced sudden onset lower abdominal pain with distension and pain in the left leg. A bullous lesion, with crepitation, later appeared in the thigh and showed air-bubbles on X-ray. Eschericia coli was cultured from ascites and the bullous lesions; there was associated gas gangrene. The patient died of bacteremia with disseminated intravascular coagulopathy 26 h after admission, despite receiving intensive care. We discuss the route of bacteria causing the spontaneous bacterial peritonitis and simultaneous gas gangrene.

journal_name

J Gastroenterol

authors

Murata K,Shimizu A,Takase K,Nakano T,Tameda Y

doi

10.1007/BF02936380

subject

Has Abstract

pub_date

1997-04-01 00:00:00

pages

264-7

issue

2

eissn

0944-1174

issn

1435-5922

journal_volume

32

pub_type

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