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Case ReportOpen Access
Streptococcus suis Peritonitis : Case Report
Vilaichone R 
,
Mahachai V ,
Nunthapisud P
,
Mahachai V ,
Nunthapisud P A 45-year-old Thai man who presented with peritonitis was seen in a tertiary care centre
in Thailand. An exploratory laparotomy was done because of peritonitis from abdominal trauma.
Postoperatively the patient received intravenous ceftriaxone and metronidazole, but he developed
rhabdomyolysis and acute renal failure. Hemodialysis was performed. After 8 days, the peritonitis had
relapsed with hypotension. The patient was given vasopressives but clinicaly deteriorated and
expired on day 11. The peritoniteal fluid culture grew
Streptococcus suis
serotype 2 and the
organism was resistant to multiple antimicrobial agents including penicillin (MIC
>
32 mcg/ml)
but was susceptible to vancomycin.
Key word : Peritonitis,
S. suis,
Case Report
in Thailand. An exploratory laparotomy was done because of peritonitis from abdominal trauma.
Postoperatively the patient received intravenous ceftriaxone and metronidazole, but he developed
rhabdomyolysis and acute renal failure. Hemodialysis was performed. After 8 days, the peritonitis had
relapsed with hypotension. The patient was given vasopressives but clinicaly deteriorated and
expired on day 11. The peritoniteal fluid culture grew
Streptococcus suis
serotype 2 and the
organism was resistant to multiple antimicrobial agents including penicillin (MIC
>
32 mcg/ml)
but was susceptible to vancomycin.
Key word : Peritonitis,
S. suis,
Case Report
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