Spontaneous bacterial peritonitis caused by Listeria monocytogenes: A rare infection with very high leukocyte counts in ascitic fluid-case report and review of the literature.
Clin Res Hepatol Gastroenterol
; 47(6): 102130, 2023 05.
Article
in En
| MEDLINE
| ID: mdl-37116650
ABSTRACT
We present a rare case of Listeria monocytogenes-induced spontaneous bacterial peritonitis (SBP) in cirrhosis. Examination of the patient's peritoneal fluid revealed an extremely high leukocyte count. We suspect, that the patient belongs to 1% of individuals in which Listeria monocytogenes is part of the intestinal flora. Cephalosporins as empiric antibiotics have a Listeria gap. A combination of aminopenicillin and aminoglycoside is recommended. Therefore, early microbiological diagnosis from ascites and blood is essential. Listeria should be considered as a rare cause of SBP, especially in case of very high leukocyte count in peritoneal fluid or lack of response to empiric therapy.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Peritonitis
/
Bacterial Infections
/
Listeriosis
/
Listeria monocytogenes
Type of study:
Diagnostic_studies
Limits:
Humans
Language:
En
Journal:
Clin Res Hepatol Gastroenterol
Year:
2023
Document type:
Article