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Spontaneous bacterial peritonitis (SBP) is the development of a bacterial infection in the peritoneum, despite the absence of an obvious source for the infection. [1] It is specifically an infection of the ascitic fluid – an increased volume of peritoneal fluid. [2] Ascites is most commonly a complication of cirrhosis of the liver. [1]
Spontaneous bacterial peritonitis (SBP) is a peculiar form of peritonitis occurring in the absence of an obvious source of contamination. It occurs in people with ascites , including children. Intra-peritoneal dialysis predisposes to peritoneal infection (sometimes named "primary peritonitis" in this context).
Spontaneous bacterial peritonitis, hepatorenal syndrome, low blood sodium [3] [4] Causes: Liver cirrhosis, cancer, heart failure, tuberculosis, pancreatitis, blockage of the hepatic vein [4] Diagnostic method: Physical exam, ultrasound, CT scan [3] Treatment: Low-salt diet, medications, draining the fluid [3] Medication: Spironolactone ...
Primary peritonitis is the diffuse bacterial infection of the peritoneum while the integrity of the gastrointestinal tract is preserved (in cases of ascites); secondary peritonitis is the infection of peritoneum where the integrity of gastrointestinal tract is compromised; tertiary peritonitis is reinfection of peritoneum 48 hours after ...
The most common infection is peritonitis, followed by lung, skin, and urinary infections, meningoencephalitis and in the most serious cases septicaemia. The most notable of the causative organisms are Streptococcus pneumoniae and Haemophilus influenzae. Spontaneous bacterial peritonitis can develop where there is ascites present. This is a ...
The most common cause is a perforated abdominal organ, generally from a perforated peptic ulcer, although any part of the bowel may perforate from a benign ulcer, tumor or abdominal trauma. A perforated appendix seldom causes a pneumoperitoneum. Spontaneous pneumoperitoneum is a rare case that is not caused by an abdominal organ rupture.
The serum-ascites albumin gradient (SAAG) is the most useful index for evaluating peritoneal fluid and can help distinguish ascites caused by portal hypertension (cirrhosis, portal vein thrombosis, Budd-Chiari syndrome, etc.) from other causes of ascites. SAAG is calculated by subtracting the albumin measure of ascitic fluid from the serum value.
S. bovis is commonly found in the alimentary tract of cattle, sheep, and other ruminants, [9] and may cause ruminal acidosis. [10] [11] It is also associated with spontaneous bacterial peritonitis, a frequent complication occurring in patients affected by cirrhosis. [12] Equivalence with Streptococcus equinus has been contested. [4]