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Spontaneous bacterial peritonitis from Salmonella: an unusual bacterium with unusual presentation.

Abstract：

:Spontaneous bacterial peritonitis (SBP) is a common cause of morbidity and mortality in patients with advanced cirrhosis and portal hypertension. While gram-negative rods and Enterococcus species are the common offending organisms, Salmonella has also been recognized as a rare and atypical offending organism. Atypical features of Salmonella SBP include both its occurrence in cirrhotic patients with immunosuppressive state and its lack of typical neutroascitic response. Diagnosis is often delayed as it requires confirmation from ascitic fluid culture. We report a case of Salmonella SBP occurring in a patient with decompensated cryptogenic cirrhosis with concurrent low-grade non-Hodgkin lymphoma and prior treatment with rituximab. Physicians should be aware of the atypical presentation, especially in cirrhotic patients who are immunosuppressed.

journal_name

Hepatol Int

journal_title

Hepatology international

authors

Rajekar H,Wai CT,Lee KH,Wong SY,Tan KC

doi

10.1007/s12072-008-9087-9

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

388-9

issue

3

eissn

1936-0533

issn

1936-0541

journal_volume

2

pub_type

杂志文章

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