RESUMEN
Dilated cardiomyopathy (DCM) is usually an idiopathic disease with a poor prognosis. Hypocalcemia is a rare and reversible cause of DCM. Here, we report a 50-year-old female with DCM, induced by idiopathic hypoparathyroidism, that improved after treatment with calcium.
Asunto(s)
Femenino , Humanos , Persona de Mediana Edad , Calcio/administración & dosificación , Cardiomiopatía Dilatada/diagnóstico , Suplementos Dietéticos , Electrocardiografía , Hipocalcemia/diagnóstico , Hipoparatiroidismo/complicaciones , Recuperación de la Función , Resultado del Tratamiento , Vitamina D/administración & dosificaciónRESUMEN
Selective intestinal decontamination (SID) with norfloxacin has been widely used for the prophylaxis of spontaneous bacterial peritonitis (SBP) because of a high recurrence rate and preventive effect of SID for SBP. However, it does select resistant gut flora and may lead to SBP caused by unusual pathogens such as quinolone-resistant gram-negative bacilli or gram-positive cocci. Enterococcus hirae is known to cause infections mainly in animals, but is rarely encountered in humans. We report the first case of SBP by E. hirae in a cirrhotic patient who have previously received an oral administration of norfloxacin against SBP caused by Klebsiella pneumoniae and presented in septic shock.