Spontaneous non-typhoidal Salmonella peritonitis in patients with serious underlying disorders

Non-typhoidal Salmonella is a rare cause of spontaneous bacterial peritonitis (SBP). Non-typhoidal Salmonella SBP has been reported in patients with relatively normal ascitic fluid protein levels. Five patients with non-typhoidal Salmonella SBP and a review of the literature are reported. These pati...

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Bibliographic Details
Published in:Infection 1999-05, Vol.27 (3), p.224-227
Main Authors: DE LA FUENTE-AGUADO, J, BORDON, J, ESTEBAN, A. R, AGUILAR, A, MORENO, J. A
Format: Article
Language:English
Subjects:
Adult
Aged
Bacterial diseases
Bacterial diseases of the digestive system and abdomen
Biological and medical sciences
Female
Human bacterial diseases
Humans
Infectious diseases
Male
Medical sciences
Peritonitis - drug therapy
Peritonitis - microbiology
Peritonitis - physiopathology
Salmonella enteritidis
Salmonella Infections - drug therapy
Salmonella Infections - microbiology
Salmonella Infections - physiopathology
Salmonella typhimurium
Treatment Outcome
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Summary:Non-typhoidal Salmonella is a rare cause of spontaneous bacterial peritonitis (SBP). Non-typhoidal Salmonella SBP has been reported in patients with relatively normal ascitic fluid protein levels. Five patients with non-typhoidal Salmonella SBP and a review of the literature are reported. These patients had chronic underlying disorders, such as malignancy, or other conditions causing immunosuppression. In previous reports, an ascitic fluid protein level above 1.5 g/dl was present in six patients, and under 1.5 g/dl in two. In the present report, ascitic fluid protein is above 2.5 g/dl in three patients and under 1.5 g/dl in one. Immunosuppression and the virulence of the organism seem to play a major role in non-typhoidal Salmonella SBP. Physicians should be alert to the possibility of non-typhoidal Salmonella infection in patients with SBP and normal protein levels in ascitic fluid.
ISSN:0300-8126
1439-0973
DOI:10.1007/bf02561536