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Diagnosis of Spontaneous Bacterial Peritonitis: Role of Tween 80 and Triton X in Ascitic Fluid Cultures
A patient with alcoholic cirrhosis of the liver, portal hypertension with hepatic encephalopathy and spontaneous bacterial peritonitis (SBP) was admitted in an obtunded condition. Attempts at delineating the aetiology of the SBP using conventional cultures as well as automated systems were not succe...
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Published in: | Indian journal of medical microbiology 2009-04, Vol.27 (2), p.159-161 |
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Main Authors: | , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | A patient with alcoholic cirrhosis of the liver, portal hypertension
with hepatic encephalopathy and spontaneous bacterial peritonitis (SBP)
was admitted in an obtunded condition. Attempts at delineating the
aetiology of the SBP using conventional cultures as well as automated
systems were not successful. The use of non-anionic surfactant agents
such as Tween 80-incorporated blood agar and Triton X treatment of the
specimens facilitated the growth of Klebsiella pneumoniae from the
ascitic fluid, which otherwise would have been concluded to represent
culture-negative neutrocytic ascites. Thus, the use of the
aforementioned agents could be explored in elucidating the aetiology of
body cavity infections when conventional methods fail. |
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ISSN: | 0255-0857 1998-3646 |
DOI: | 10.4103/0255-0857.49433 |