Listeria monocytogenes as a cause of spontaneous bacterial peritonitis: a rare entity

Listeria is an uncommon cause of spontaneous bacterial peritonitis (SBP) in the United States. Listeria should be suspected as a cause of SBP when the patient has diphtheria-like organisms on ascitic/blood cultures, iron overload/hemochromatosis, exposure to farm animals, or poor response to empiric...

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Main Authors: Bilal Shaikh, Ranjan Pathak, Naba Raj Mainali, Shobhit Gupta
Format: Article
Language:English
Published: Greater Baltimore Medical Center 2015-02-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Online Access:http://www.jchimp.net/index.php/jchimp/article/view/26153/pdf_27
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author Bilal Shaikh
Ranjan Pathak
Naba Raj Mainali
Shobhit Gupta
author_facet Bilal Shaikh
Ranjan Pathak
Naba Raj Mainali
Shobhit Gupta
author_sort Bilal Shaikh
collection DOAJ
description Listeria is an uncommon cause of spontaneous bacterial peritonitis (SBP) in the United States. Listeria should be suspected as a cause of SBP when the patient has diphtheria-like organisms on ascitic/blood cultures, iron overload/hemochromatosis, exposure to farm animals, or poor response to empiric therapy within 48–72 h. Diagnosis of SBP is made if the ascitic fluid shows polymorphonuclear cell count >250 cells/mm3 without an intra-abdominal source of infection. Ampicillin with or without an aminoglycoside is the treatment of choice. Trimethoprim-sulfamethoxazole is recommended for prophylaxis in patients with a previous episode of Listeria SBP.
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spelling doaj.art-cc62a62f23f443bdba37622a9925c3d12023-01-02T00:47:05ZengGreater Baltimore Medical CenterJournal of Community Hospital Internal Medicine Perspectives2000-96662015-02-01511310.3402/jchimp.v5.2615326153Listeria monocytogenes as a cause of spontaneous bacterial peritonitis: a rare entityBilal Shaikh0Ranjan Pathak1Naba Raj Mainali2Shobhit Gupta3Department of Internal Medicine, Reading Health System, West Reading, PA, USADepartment of Internal Medicine, Reading Health System, West Reading, PA, USADepartment of Internal Medicine, Reading Health System, West Reading, PA, USADepartment of Internal Medicine, Reading Health System, West Reading, PA, USAListeria is an uncommon cause of spontaneous bacterial peritonitis (SBP) in the United States. Listeria should be suspected as a cause of SBP when the patient has diphtheria-like organisms on ascitic/blood cultures, iron overload/hemochromatosis, exposure to farm animals, or poor response to empiric therapy within 48–72 h. Diagnosis of SBP is made if the ascitic fluid shows polymorphonuclear cell count >250 cells/mm3 without an intra-abdominal source of infection. Ampicillin with or without an aminoglycoside is the treatment of choice. Trimethoprim-sulfamethoxazole is recommended for prophylaxis in patients with a previous episode of Listeria SBP.http://www.jchimp.net/index.php/jchimp/article/view/26153/pdf_27Listeria monocytogenesspontaneous bacterial peritonitiscirrhosisampicillin
spellingShingle Bilal Shaikh
Ranjan Pathak
Naba Raj Mainali
Shobhit Gupta
Listeria monocytogenes as a cause of spontaneous bacterial peritonitis: a rare entity
Journal of Community Hospital Internal Medicine Perspectives
Listeria monocytogenes
spontaneous bacterial peritonitis
cirrhosis
ampicillin
title Listeria monocytogenes as a cause of spontaneous bacterial peritonitis: a rare entity
title_full Listeria monocytogenes as a cause of spontaneous bacterial peritonitis: a rare entity
title_fullStr Listeria monocytogenes as a cause of spontaneous bacterial peritonitis: a rare entity
title_full_unstemmed Listeria monocytogenes as a cause of spontaneous bacterial peritonitis: a rare entity
title_short Listeria monocytogenes as a cause of spontaneous bacterial peritonitis: a rare entity
title_sort listeria monocytogenes as a cause of spontaneous bacterial peritonitis a rare entity
topic Listeria monocytogenes
spontaneous bacterial peritonitis
cirrhosis
ampicillin
url http://www.jchimp.net/index.php/jchimp/article/view/26153/pdf_27
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AT ranjanpathak listeriamonocytogenesasacauseofspontaneousbacterialperitonitisarareentity
AT nabarajmainali listeriamonocytogenesasacauseofspontaneousbacterialperitonitisarareentity
AT shobhitgupta listeriamonocytogenesasacauseofspontaneousbacterialperitonitisarareentity