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

A Rare Colonization in Peritoneum After Blunt Abdominal Trauma: S. putrefaciens and S. cerevisiae
Oana Bulat1, Cristian Bulat1, Mihaela Blaj2, Ioana Lupusoru1, Viorel Scripcariu3
1Department of Surgery, “Sf. Spiridon” Hospital, “Grigore T. Popa” University School of Medicine and Pharmacy, Iasi, Romania
2Department of Intensive Care Unit, “Sf. Spiridon” Hospital, “Grigore T. Popa” University School of Medicine and Pharmacy, Iasi, Romania
3Department of Oncology Surgery, Regional Institute of Oncology, “Grigore T. Popa” University School of Medicine and Pharmacy, Iasi, Romania
DOI : 10.4274/balkanmedj.2017.0773
Pages : 333-335

Abstract

Background: Shewanella spp. are gram-negative bacteria, saprophytes, and rarely pathogenic. Saccharomyces cerevisiae is the well-known yeast used for fermentation in industry and molecular biology for research. In humans, it is a very rare pathogen which colonizes the digestive tract, and its utility has been linked to the treatment and prevention of diarrhea associated with Clostridium difficile.
Case Report: A 27-year-old male, victim of aggressive, blunt trauma with a 4-day history of symptoms was admitted to our surgery unit. Abdominal sonography revealed peritoneal fluid in all spaces with fibrin. We performed laparotomy and observed perforations on the ileum and general peritonitis with pus. Following surgery, patient was admitted to the intensive care unit with septic shock. The antibiogram from the peritoneal liquid revealed S. putrefaciens and S. cerevisiae.
Conclusion: Although very rare, S. putrefaciens and S. cerevisiae may colonize in the peritoneum after blunt abdominal trauma.

Keywords : Blunt trauma, gram-negative bacteria, peritonitis, S. cerevisiae, S. putrefaciens
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