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Peer-reviewed veterinary case report

Bloodstream infection, peritonitis, and pneumonia caused byin a patient with liver cirrhosis despite no animal contact: case report and literature review.

Journal:
Frontiers in cellular and infection microbiology
Year:
2023
Authors:
Lu, Bin et al.
Affiliation:
Department of Infectious Diseases · China

Plain-English summary

This case study discusses a 49-year-old man who had liver cirrhosis due to a past hepatitis B infection and had not been in contact with any animals. He was admitted to the hospital with a fever, diarrhea, a swollen abdomen, and a cough. Tests showed signs of infection, and scans revealed fluid in his abdomen and lungs. The doctors treated him with antibiotics and drained the excess fluid, which helped improve his condition. Overall, the treatment was effective in addressing his serious infections.

Abstract

is an opportunistic pathogen. Previously reported infections associated withhave often been linked to contact with cats, dogs, and other animals. Cases of systemic multiple-site infections followinginfection are rare. This case study presents a 49-year-old middle-aged man with post-hepatitis B cirrhosis and no history of animal contact. The patient was admitted with symptoms of fever accompanied by diarrhea, abdominal distension, and cough. Blood tests showed elevated levels of CRP, PCT, and IL-6, and blood culture revealed the growth of. CT scans revealed a large amount of abdominal effusion, a small amount of pleural effusion, and pulmonary infection foci. The patient's condition improved after successive administration of ceftriaxone and levofloxacin to fight the infection, and abdominal puncture and drainage. Multiple-site infections caused byare rarely encountered in patients with liver cirrhosis but without animal contact, which could be regarded as serious conditions warranting careful attention in terms of clinical diagnosis and treatment.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/37822356/