Spontaneous Bacterial Peritonitis Caused by Listeria monocytogenes Associated with Ascitic Fluid Lymphocytosis: A Case Report and Review of Current Empiric Therapy

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 assoc...

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Main Authors: Todd Yecies, Sanae Inagami
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Hepatology
Online Access:http://dx.doi.org/10.1155/2013/832457
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author Todd Yecies
Sanae Inagami
author_facet Todd Yecies
Sanae Inagami
author_sort Todd Yecies
collection DOAJ
description 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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institution Kabale University
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publishDate 2013-01-01
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series Case Reports in Hepatology
spelling doaj-art-734fa15c880143399eb9d690f5c594fe2025-02-03T05:45:14ZengWileyCase Reports in Hepatology2090-65872090-65952013-01-01201310.1155/2013/832457832457Spontaneous Bacterial Peritonitis Caused by Listeria monocytogenes Associated with Ascitic Fluid Lymphocytosis: A Case Report and Review of Current Empiric TherapyTodd Yecies0Sanae Inagami1University of Pittsburgh School of Medicine, 4601 Bayard Street, Pittsburgh, PA 15213, USAUniversity of Pittsburgh and VA Pittsburgh Healthcare System (VAPHS), Pittsburgh, PA 15213, USASpontaneous 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.http://dx.doi.org/10.1155/2013/832457
spellingShingle Todd Yecies
Sanae Inagami
Spontaneous Bacterial Peritonitis Caused by Listeria monocytogenes Associated with Ascitic Fluid Lymphocytosis: A Case Report and Review of Current Empiric Therapy
Case Reports in Hepatology
title Spontaneous Bacterial Peritonitis Caused by Listeria monocytogenes Associated with Ascitic Fluid Lymphocytosis: A Case Report and Review of Current Empiric Therapy
title_full Spontaneous Bacterial Peritonitis Caused by Listeria monocytogenes Associated with Ascitic Fluid Lymphocytosis: A Case Report and Review of Current Empiric Therapy
title_fullStr Spontaneous Bacterial Peritonitis Caused by Listeria monocytogenes Associated with Ascitic Fluid Lymphocytosis: A Case Report and Review of Current Empiric Therapy
title_full_unstemmed Spontaneous Bacterial Peritonitis Caused by Listeria monocytogenes Associated with Ascitic Fluid Lymphocytosis: A Case Report and Review of Current Empiric Therapy
title_short Spontaneous Bacterial Peritonitis Caused by Listeria monocytogenes Associated with Ascitic Fluid Lymphocytosis: A Case Report and Review of Current Empiric Therapy
title_sort spontaneous bacterial peritonitis caused by listeria monocytogenes associated with ascitic fluid lymphocytosis a case report and review of current empiric therapy
url http://dx.doi.org/10.1155/2013/832457
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AT sanaeinagami spontaneousbacterialperitonitiscausedbylisteriamonocytogenesassociatedwithasciticfluidlymphocytosisacasereportandreviewofcurrentempirictherapy