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

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 empiri...

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Bibliographic Details
Main Authors: Bilal Shaikh, Ranjan Pathak, Naba Raj Mainali, Shobhit Gupta
Format: Article
Language:English
Published: Taylor & Francis Group 2015-02-01
Series:Journal of Community Hospital Internal Medicine Perspectives
Subjects:
Listeria monocytogenes
spontaneous bacterial peritonitis
cirrhosis
ampicillin
Online Access:http://www.jchimp.net/index.php/jchimp/article/view/26153/pdf_27
Description
Summary: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.
ISSN:2000-9666

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