ISSN : 2146-3123
E-ISSN : 2146-3131

A Rare Colonization in the Peritonitis Following Blunt Abdominal Trauma
Oana Bulat1, Cristian Bulat1, Mihaela Blaj2, Ioana Lupusoru1, Viorel Scripcariu3
1Department of Surgery, “Sf. Spiridon” Hospital, University of Medicine and Pharmacy “Grigore T. Popa”, Iasi, Romania
2Department of Intensive Care Unit, “Sf. Spiridon” Hospital, University of Medicine and Pharmacy “Grigore T. Popa”, Iasi, Romania
3Department of Oncology Surgery, Regional Institute of Oncology, University of Medicine and Pharmacy “Grigore T. Popa”, Iasi, Romania
DOI : 10.4274/balkanmedj.2017.0773

Background: Schewanella spp. is Gram-negative bacteria, saprophytes and rarely pathogenic. Initially isolated in 193, these belong to the marine environment; Schewanella (Pseudomonas) putrefaciens was found in water, soil and animal sources and produces hydrogen sulphide. Saccharomyces cerevisiae is the well-known yeast used for fermentation in industry and in molecular biology for research. In humans, it is a very rare pathogen which colonises the digestive tract and its utility has been linked to the treatment and prevention of diarrhoea associated with Clostridium difficile.
Case Report: We report a case of delayed peritonitis due to blunt abdominal trauma, with septic shock and positive antibiogramm for Schewanella putrefaciens and Saccharomyces cerevisiae from the intraperitoneal liquid, a rare bacterial agent.
Conclusion: In our case, although an old peritonitis following blunt abdominal trauma has a grave prognostic, the patient’s age, the sustained therapy, surgical and reanimation achieved a complete recovery and a very good social outcome for the patient.

Keywords : Blunt injuries, gram-negative bacteria, peritonitis
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