{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T13:59:03Z","timestamp":1760709543425,"version":"3.37.3"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Gastrointestinal Medicine"],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p><jats:italic>Lactobacillus<\/jats:italic>species colonize the human gastrointestinal tract and are rarely pathogenic. We present a case involving a cirrhotic patient who presented with sepsis and was found to have peritoneal cultures demonstrating<jats:italic>Lactobacillus<\/jats:italic>as the sole pathogen concerning for spontaneous bacterial peritonitis. Treatment was achieved with high-dose penicillin and clindamycin but the patient developed hepatorenal syndrome and died from acute renal failure. Intra-abdominal<jats:italic>Lactobacillus<\/jats:italic>infections are typically seen in patients undergoing peritoneal dialysis or who have recently had bowel perforation. There are few case reports of spontaneous<jats:italic>Lactobacillus<\/jats:italic>peritonitis in patients with cirrhosis. Our case report addresses the challenges of<jats:italic>Lactobacillus<\/jats:italic>treatment and suggests antibiotic coverage of commensal organisms in patients who do not improve with standard management.<\/jats:p>","DOI":"10.1155\/2018\/5714053","type":"journal-article","created":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T23:33:33Z","timestamp":1519947213000},"page":"1-2","source":"Crossref","is-referenced-by-count":4,"title":["Spontaneous Bacterial Peritonitis due to<i>Lactobacillus paracasei<\/i>in Cirrhosis"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0810-8596","authenticated-orcid":true,"given":"Emily","family":"Harding-Theobald","sequence":"first","affiliation":[{"name":"Department of Medicine, University of California, San Francisco Medical Center, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0494-4549","authenticated-orcid":true,"given":"Bharat","family":"Maraj","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of California, San Francisco Medical Center, San Francisco, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-004-1253-y"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1081\/JDI-120039827"},{"issue":"3","key":"3","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1177\/089686088900900316","volume":"9","year":"1989","journal-title":"Peritoneal Dialysis International"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/0195-6701(92)90019-I"},{"issue":"6","key":"5","doi-asserted-by":"crossref","first-page":"1781","DOI":"10.1128\/JCM.36.6.1781-1783.1998","volume":"36","year":"1998","journal-title":"Journal of Clinical Microbiology"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.41.6.2783-2784.2003"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1086\/380455"},{"issue":"2","key":"8","first-page":"83","volume":"92","year":"2000","journal-title":"Journal of the National Medical Association"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1086\/516109"},{"year":"2003","key":"10"}],"container-title":["Case Reports in Gastrointestinal Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crigm\/2018\/5714053.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crigm\/2018\/5714053.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crigm\/2018\/5714053.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T22:17:44Z","timestamp":1603923464000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/crigm\/2018\/5714053\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":10,"alternative-id":["5714053","5714053"],"URL":"https:\/\/doi.org\/10.1155\/2018\/5714053","relation":{},"ISSN":["2090-6528","2090-6536"],"issn-type":[{"type":"print","value":"2090-6528"},{"type":"electronic","value":"2090-6536"}],"subject":[],"published":{"date-parts":[[2018]]}}}