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Title of Journal: Clin J Gastroenterol

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Abbravation: Clinical Journal of Gastroenterology

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Springer Japan

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1865-7265

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First case of bacteremia caused by Emphasis Type=

Authors: Kenya Kamimura Daisuke Kumaki Masashi Arita Yuji Kobayashi Kenichi Mizuno Fumiko Kusama Megumi Kobayashi Hiroyuki Abe Yoshifumi Takahashi Kohei Ogawa Yoko Shinagawa Manabu Takeuchi Yuichi Sato Hirokazu Kawai Satoshi Yamagiwa Shuji Terai
Publish Date: 2015/09/05
Volume: 8, Issue: 5, Pages: 306-317
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Abstract

Patients with liver cirrhosis are known to be immunocompromised hosts due to the dysfunction of the cellular and humoral immune systems allowing easier bacterial translocation from the intestine to the systemic circulation via the portal vein Sepsis can often be seen in these patients however approximately 10  of patients show negative results with the standard culture period 3–4 days and their pathogens remain undiagnosed Here we report the first case of a patient with liver cirrhosis diagnosed with bacteremia due to Helicobacter cinaedi after gastrointestinal symptoms and review 62 cases of H cinaedi infection in patients with other diseases The patient showed positive results for H cinaedi after 10 days of culture Administration of a carbapenem was effective and clinical symptoms recovered 20 days after admission H cinaedi is an enterohepatic bacterial species that causes bacteremia in immunocompromised patients Due to the difficulty of detection few cases have been reported to date and to the best of our knowledge this is the first published case of bacteremia due to H cinaedi infection in a patient with liver cirrhosis Since bacteremia in patients with liver cirrhosis can result in fatality we recommend vigilance for H cinaedi infection longer periods of blood culture polymerase chain reaction analysis and empirical antibiotic therapy to help improve prognosisKenya Kamimura Daisuke Kumaki Masashi Arita Yuji Kobayashi Kenichi Mizuno Fumiko Kusama Megumi Kobayashi Hiroyuki Abe Yoshifumi Takahashi Kohei Ogawa Yoko Shinagawa Manabu Takeuchi Yuichi Sato Hirokazu Kawai and Satoshi Yamagiwa declare that they have no conflict of interest Shuji Terai received lecture fees from Otsuka Pharmaceutical

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  2. Extensive 0-IIc (undifferentiated carcinoma) lesion around a gastric adenoma: a case report
  3. Hepatocellular carcinoma with gastric metastasis treated by simultaneous hepatic and gastric resection: report of a case
  4. A case of peripancreatic tuberculous lymphadenitis diagnosed by endoscopic ultrasound-guided fine-needle aspiration
  5. Perineurioma in the sigmoid colon diagnosed and treated by endoscopic resection
  6. Long-term surviving patient with inferior vena cava tumor thrombus and extrahepatic metastasis after spontaneous ruptured hepatocellular carcinoma
  7. Dysfunction of a port-catheter system percutaneously implanted for hepatic arterial infusion chemotherapy due to a fibrin sheath
  8. Complete response to post-transplant lymphoproliferative disorder by surgical resection and rituximab after living-donor liver re-transplantation for recurrent primary sclerosing cholangitis
  9. Novel findings of capsule endoscopy and double-balloon enteroscopy in a case of eosinophilic gastroenteritis
  10. Hypocalcemia secondary to hypomagnesemia in a patient with Crohn’s disease
  11. Successfully treated intractable pruritus with rifampin in a case of benign recurrent intrahepatic cholestasis
  12. Diagnosis of pancreatic tuberculosis by combined, contrast-enhanced sonography and endoscopic ultrasound-guided fine-needle aspiration
  13. A case report of segmental arterial mediolysis in which computed tomography angiography was useful for diagnosis
  14. Impacted foreign body in the sigmoid colon presenting as recurrent diverticulitis
  15. A rare ring-shaped anomaly of the main pancreatic duct accompanying a branch duct IPMN
  16. Small intestinal perforation caused by cytomegalovirus reactivation after subtotal colectomy for ulcerative colitis: report of a case
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