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

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...

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Bibliographic Details
Published in:Hepatology international 2008-09, Vol.2 (3), p.388-389, Article 388
Main Authors: Rajekar, Harshal, Wai, Chun-Tao, Lee, Kang-Hoe, Wong, Sin-Yew, Tan, Kai-Chah
Format: Article
Language:English
Subjects:
Bacteria
Case Report
Colorectal Surgery
Enterococcus
Hepatology
Liver cirrhosis
Medicine
Medicine & Public Health
Mortality
Salmonella
Surgery
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Summary: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 Salmonell a 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.
ISSN:1936-0533
1936-0541
DOI:10.1007/s12072-008-9087-9