Spontaneous Bacterial Peritonitis Caused byListeria monocytogenesAssociated with Ascitic Fluid Lymphocytosis: A Case Report and Review of Current Empiric Therapy | Zendy

Todd Yecies | Zendy; Sanae Inagami | Zendy

Open Access

Spontaneous Bacterial Peritonitis Caused byListeria monocytogenesAssociated with Ascitic Fluid Lymphocytosis: A Case Report and Review of Current Empiric Therapy

Author(s) -

Todd Yecies,

Sanae Inagami

Publication year - 2013

Publication title -

case reports in hepatology

Language(s) - English

Resource type - Journals

eISSN - 2090-6587

pISSN - 2090-6595

DOI - 10.1155/2013/832457

Subject(s) - spontaneous bacterial peritonitis , ascites , listeria monocytogenes , cefotaxime , medicine , empiric therapy , ascitic fluid , lymphocytosis , listeria , cirrhosis , peritonitis , complication , gastroenterology , immunology , microbiology and biotechnology , antibiotics , pathology , bacteria , biology , alternative medicine , genetics

Spontaneous bacterial peritonitis (SBP) is a potentially deadly complication of ascites. We describe a case of SBP caused by Listeria monocytogenes in a patient with alcoholic cirrhosis. This was associated with the unusual finding of ascitic fluid lymphocytosis, which previously had only been associated with tuberculoid or malignant ascites. Given increasing rates of cefotaxime-resistant SBP alongside the possibility of Listeriosis, the use of cefotaxime as first-line therapy in SBP should be reevaluated.

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