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Archive » 1996 » 1 » | Archive » Medical field » Fields » Internal Medicine »

Spontaneus Bacterial Peritonitis – Frequent and Often Unidentified Complication in Patients with Decompensated Liver Cirrhosis

 
Abstract:

This post is also available in: enEnglish slSlovenščina (Slovenian)

Spontaneous bacterial peritonitis is a hematogenic infection of ascitic fluid occurring in immunodeficient patients with decompensated liver cirrhosis. The most common causative organisms of this monobacterial infection include enterobacteria and Gram-positive cocci. Clinical features are varied and typical signs of infection may be absent. The diagnosis is supported by a significant increase of white blood cells count in ascitic fluid. The therapy of choice is cefotaxime 2 g/8 h. The recurrence rate of spontaneous bacterial peritonitis in the first year is 70%. Recurrence is preventable by intestinal decontamination with norfloxacin.

Authors:
Ribnikar Mojca, Štepec Srečko, Križman Igor

Keywords:
liver cirrhosis – complications, ascites, peritonitis, bacterial infections

Cite as:
Med Razgl. 1996; 35: 97–101.

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