单核细胞增多性李斯特菌腹膜炎一例报告  

A Case Report on Listeria Monocytogenes Peritonitis

作　　者：王红旗[1] 李迎新[1] 

机构地区：[1]解放军第三○二医院,北京100039

出　　处：《传染病信息》1998年第4期171-172,共2页Infectious Disease Information

摘　　要：单核细胞增多性李斯特菌(Listeris Monocyto-genes,简称LM)引起肝硬化患者院内感染原发性腹膜炎报告如下: 王××男 51岁,肝功异常20余年,近二年反复出现腹水,以肝炎、肝硬化、乙型、活动性于96年3月29日再次入院。4月21日及22日晚无明确诱因畏寒、T37.8℃,清晨降至正常。23日上午T39℃,即刻查腹水常规:黄色、混浊、李凡它实验阳性,比重1.015,WBC 1000/mm^3 多核0.88,总蛋白15.9g/L。拟诊原发性细菌性腹膜炎。A case of Nosocomial spontaneus bacterial peritonitis caused by Listeria monocytogenes was reported. A 51--year--old man with a hepatitis B for 20 years was admitted to our hospital Mar. 29, 1996. His abdomen was found distending with fluid in physical examination. He became febrile to 39℃ in the hospital. LM was cultured from the ascitic fluid but not from the blood cultures. He was given ceftriaxone 2. 0g VD. 2/b at first but his abdominal tenderness persisted. When the microbiological report was available, therapy was changed to cefoperazone/sulbactam 2. 0g VD 1/12h. The pationt with peritonitis recovered after 8 days' therapy.

关 键 词：LISTERIA MONOCYTOGENES PERITONITIS 

分 类 号：R572.2[医药卫生—消化系统]