OWEN J. RHEINGOLD, M.D.; ROBERTO O. CHIPRUT, M.D.; GORDON M. DICKINSON, M.D.; EUGENE R. SCHIFF, M.D., F.A.C.P.
Spontaneous bacterial peritonitis is a complication of cirrhosis that occurs in about 8% of cirrhotic patients with ascites (1). Escherichia coli, Klebsiella organisms, and Streptococcus pneumoniae have predominated as causative agents. Listeria monocytogenes has previously been recovered from ascitic fluid of two patients with peritonitis (2, 3), both of whom had lymphoproliferative disorders and were receiving immunosuppressive therapy. Listeria monocytogenes has not been previously reported as a cause of spontaneous bacterial peritonitis in cirrhotic patients. We describe here two such cases.
Patient 1 was a 49-year-old man with biopsy-proven alcoholic cirrhosis who presented on 19 December 1976 with diffuse abdominal
RHEINGOLD OJ, CHIPRUT RO, DICKINSON GM, SCHIFF ER. Spontaneous Peritonitis of Cirrhosis Due to Listeria monocytogenes. Ann Intern Med. ;87:455–456. doi: 10.7326/0003-4819-87-4-455_2
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Published: Ann Intern Med. 1977;87(4):455-456.
Gastroenterology/Hepatology, Infectious Disease, Liver Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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