Sepsis and spontaneous bacterial peritonitis in Thailand

Bacterial translocation has an important role in the pathogenesis of spontaneous bacterial peritonitis in cirrhosis, and the most common pathogens are enterobacteriaceae.1 Previous reports on human infections after recent consumption of raw pork products suggested that the gastrointestinal tract is...

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Bibliographic Details
Published in:The Lancet (British edition) 2011-09, Vol.378 (9794), p.960-960
Main Authors: Kerdsin, Anusak, MSc, Dejsirilert, Surang, MSc, Sawanpanyalert, Pathom, MD, Boonnark, Adisorn, MD, Noithachang, Wipa, BSc, Sriyakum, Duangdao, MD, Simkum, Somchai, BSc, Chokngam, Sukenya, BSc, Gottschalk, Marcelo, Prof, Akeda, Yukihiro, PhD, Oishi, Kazunori, Prof
Format: Article
Language:English
Subjects:
Abdomen
Aged
Animals
Bacteria
Bacterial diseases
Bacterial sepsis
Biological and medical sciences
Diagnosis, Differential
Female
Foodborne Diseases - microbiology
Gastroenterology. Liver. Pancreas. Abdomen
Gastrointestinal tract
General aspects
Human bacterial diseases
Humans
Infectious diseases
Internal Medicine
Liver cirrhosis
Male
Meat - microbiology
Medical sciences
Middle Aged
Other diseases. Semiology
Peritonitis - diagnosis
Peritonitis - microbiology
Pork
Sepsis
Sepsis - diagnosis
Sepsis - microbiology
Serotyping
Streptococcal Infections - diagnosis
Streptococcal Infections - transmission
Streptococcus suis - classification
Swine
Thailand
Translocation
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Summary:Bacterial translocation has an important role in the pathogenesis of spontaneous bacterial peritonitis in cirrhosis, and the most common pathogens are enterobacteriaceae.1 Previous reports on human infections after recent consumption of raw pork products suggested that the gastrointestinal tract is a major route of entry in cases of S suis infections in Thailand and Vietnam.2,3,5 In this region, the occurrence of spontaneous bacterial peritonitis through bacterial translocation of S suis after consumption of raw pork products is possible in patients with liver cirrhosis. A similar case of spontaneous bacterial peritonitis caused by serotype 16 strain of S suis in a patient with alcoholic liver cirrhosis was reported from Vietnam.4 Although the isolation rates for serotypes 5 and 24 are low (2/179 cases; 1.1%), S suisspecific PCR is recommended for identification of streptococcal isolates from sterile sites, and a serious caution against eating raw pork products should be given to patients with liver cirrhosis, especially in southeast Asian countries.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(11)60923-9