Peritonitis bacteriana espontánea por Listeria monocytogenes en ascitis de origen cardíaco

Olmo, Vicente Gómez del; Peña, J.L. Patier de la; Moreno-Cobo, M.A.; Meseguer, María Antonia

doi:10.1016/j.rce.2009.12.014

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…While cirrhosis is a major risk factor for SBP, the condition can also occur with other conditions that lead to ascites, such as heart failure, nephrotic syndrome, Budd-Chiari syndrome, and extrahepatic portal venous obstruction. [6][7][8][9] Patients often present with fever or hypothermia, chills, and abdominal pain, but approximately 30% of patients with SBP are asymptomatic, defined as lack of abdominal pain, fever, or rise in white blood cell (WBC) count above baseline. Ascites fluid analysis, with a diagnostic threshold of PMN count .250, is sufficient for diagnosing SBP since ascitic fluid cultures are frequently nondiagnostic.…”

Section: Discussionmentioning

confidence: 99%

Noninfectious Ascites Neutrophilia in a Patient With Polycythemia Vera

Mazumder,

Chatterjee,

Carey

et al. 2024

ACG Case Rep J

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A 59-year-old woman with polycythemia vera-related portal hypertension requiring frequent paracentesis was admitted for asymptomatic recurrent spontaneous bacterial peritonitis, which was diagnosed based on elevated polymorphonuclear (PMN) count. She had multiple similar admissions during which she was treated with antibiotics. The patient had chronic baseline leukocytosis due to polycythemia vera. Repeat paracentesis after intravenous antibiotics demonstrated persistent elevation of PMN count without clinical symptoms. A multidisciplinary team concluded that the increased PMN count was secondary to polycythemia. The patient was diagnosed with omental extramedullary hematopoiesis, a rare condition causing elevated PMN count in the absence of bacterial contamination.

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Section: Discussionmentioning

confidence: 99%