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Spontaneous streptococcus pneumonia peritonitis in a patient with metastatic gastric cancer. A case report and etiologic consideration
Author(s) -
Isner Jeffrey,
Macdonald John S.,
Schein Philip S.
Publication year - 1977
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(197705)39:5<2306::aid-cncr2820390552>3.0.co;2-7
Subject(s) - medicine , spontaneous bacterial peritonitis , peritonitis , ascites , pneumonia , cancer , streptococcus , gastroenterology , adenocarcinoma , bacteria , biology , genetics
Spontaneous peritonitis in adults has not been previously reported to occur in association with ascites of neoplastic origin. We report a patient with metastatic gastric adenocarcinoma in whom spontaneous streptococcus pneumonia peritonitis occurred as a terminal event. Massive metastases may have resulted in significant loss of the hepatic reticuloendothelial system and impaired the capability of the liver to function as an effective bacterial filter, predisposing the patient to bacterial peritonitis.