Listeria monocytogenes peritonitis in cirrhotic patients: first description in Brazil.

Abstract:

:Two cases of spontaneous bacterial peritonitis (SBP) caused by Listeria monocytogenes in cirrhotic patients are reported. In one of the cases, the microorganism was isolated from pleural effusion and ascites. SBP is a serious and common complication of patients with ascites caused by hepatic cirrhosis and the culture of the ascitic fluid is an important tool for the diagnosis and for the more appropriate treatment. Although a third generation cephalosporin has usually been employed for empiric treatment of SBP, it does not provide adequate coverage against Listeria spp. In such cases the use of ampicillin (with or without sulbactam) or sulfamethoxazole-trimethoprim is recommended. The last one is used for secondary prophylaxis, instead of norfloxacin. To summarize, Listeria monocytogenes infection is a rare cause of SBP, whose treatment should be specific for the bacteria.

authors

Toyoshima MT,Apanavicius A,de Matos Soeiro A,de Almeida GM,Arai MH

doi

10.1590/s0036-46652006000500010

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

291-3

issue

5

eissn

0036-4665

issn

1678-9946

pii

S0036-46652006000500010

journal_volume

48

pub_type

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