Spontaneous bacterial peritonitis caused by Neisseria gonorrhoeae. Evidence for a transfallopian route of infection.

Abstract:

:We describe the clinical and laboratory features of a case of spontaneous bacterial peritonitis caused by Neisseria gonorrhoeae in a sexually active woman with Laennec's cirrhosis, ascites, and asymptomatic cervical gonorrhea. Treatment of the infection with high-dose parenteral penicillin was associated with resolution of the infection. This first report of spontaneous gonococcal peritonitis provides highly suggestive evidence that the transfallopian route is a mechanism whereby bacteria may enter the peritoneal cavity. Appropriate cultures for this organism should be included when a woman with chronic liver disease, who is sexually active, presents with spontaneous peritonitis.

journal_name

Gastroenterology

journal_title

Gastroenterology

authors

Stassen WN,McCullough AJ,Hilton PK

doi

10.1016/0016-5085(85)90155-6

subject

Has Abstract

pub_date

1985-03-01 00:00:00

pages

804-7

issue

3

eissn

0016-5085

issn

1528-0012

pii

S001650858500097X

journal_volume

88

pub_type

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