Spontaneous Bacterial Peritonitis Associated with Acute Viral Hepatitis
Spontaneous bacterial peritonitis (SBP) occurs most frequently in patients with cirrhosis and preexistent ascites; SBP has not been previously recognized in association with acute liver disease. We report two patients with acute hepatitis B infection who developed SBP. Patient 1 had Streptococcus pn...
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| Veröffentlicht in: | Journal of clinical gastroenterology 1982-06, Vol.4 (3), p.259-262 |
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| container_title | Journal of clinical gastroenterology |
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| creator | Thomas, Fred B Fromkes, John J |
| description | Spontaneous bacterial peritonitis (SBP) occurs most frequently in patients with cirrhosis and preexistent ascites; SBP has not been previously recognized in association with acute liver disease. We report two patients with acute hepatitis B infection who developed SBP. Patient 1 had Streptococcus pneumoniae peritonitis and bacteremia, but did not have ascites until after the peritoneal infection was evident. Subsequent liver biopsy and follow-up studies confirmed the clinical diagnosis of acute hepatitis. Patient 2 had sub-massive hepatic necrosis due to hepatitis B and developed ascites before Streptococcus fecalis SBP. Although the association of SBP with acute hepatic injury is rare, these two patients illustrate that the syndrome of SBP does occur with acute liver disease. |
| doi_str_mv | 10.1097/00004836-198206000-00012 |
| format | Article |
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We report two patients with acute hepatitis B infection who developed SBP. Patient 1 had Streptococcus pneumoniae peritonitis and bacteremia, but did not have ascites until after the peritoneal infection was evident. Subsequent liver biopsy and follow-up studies confirmed the clinical diagnosis of acute hepatitis. Patient 2 had sub-massive hepatic necrosis due to hepatitis B and developed ascites before Streptococcus fecalis SBP. 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We report two patients with acute hepatitis B infection who developed SBP. Patient 1 had Streptococcus pneumoniae peritonitis and bacteremia, but did not have ascites until after the peritoneal infection was evident. Subsequent liver biopsy and follow-up studies confirmed the clinical diagnosis of acute hepatitis. Patient 2 had sub-massive hepatic necrosis due to hepatitis B and developed ascites before Streptococcus fecalis SBP. Although the association of SBP with acute hepatic injury is rare, these two patients illustrate that the syndrome of SBP does occur with acute liver disease.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Ampicillin - therapeutic use</subject><subject>Clindamycin - therapeutic use</subject><subject>Enterococcus faecalis</subject><subject>Female</subject><subject>Gentamicins - therapeutic use</subject><subject>Hepatitis B - complications</subject><subject>Humans</subject><subject>Male</subject><subject>Peritonitis - drug therapy</subject><subject>Peritonitis - etiology</subject><subject>Streptococcal Infections - drug therapy</subject><subject>Streptococcal Infections - etiology</subject><subject>Streptococcus pneumoniae</subject><issn>0192-0790</issn><issn>1539-2031</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1982</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kd9LwzAQgIMoc07_BKFPvlUvSdOkj3PoJgwU_PEa0jRh0W6dScrwvzez0zcPwhHuuwv5DqEMwzWGit9AikLQMseVIFCmW54OJkdojBmtcgIUH6Mx4IrkwCs4RWchvCeCU4pHaFQKEMDoGM2ft90mqo3p-pDdKh2Nd6rNnlKK3cZFF7JpCJ12Kpom27m4yqa6jyZ7cz5xC7NVcU-doxOr2mAuDnmCXu_vXmaLfPk4f5hNl7mmjJG8aqrSam0bxkHxuuQF0brWlpVlbRWIQmOlG1bU2nDGlK2pbTQW2gAQwxWhE3Q1zN367rM3Icq1C9q07fAFyQtguBB7UAyg9l0I3li59W6t_JfEIPcO5a9D-edQ_jhMrZeHN_p6bZq_xoO0VC-G-q5rk6_w0fY74-XKqDau5H-rod9LwX1U</recordid><startdate>198206</startdate><enddate>198206</enddate><creator>Thomas, Fred B</creator><creator>Fromkes, John J</creator><general>Lippincott-Raven Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>198206</creationdate><title>Spontaneous Bacterial Peritonitis Associated with Acute Viral Hepatitis</title><author>Thomas, Fred B ; Fromkes, John J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3552-9d96fccfd570a7b6742ccbcf566bfa084c1acd54bce755afb3fdc18ce002e7a23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1982</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Ampicillin - therapeutic use</topic><topic>Clindamycin - therapeutic use</topic><topic>Enterococcus faecalis</topic><topic>Female</topic><topic>Gentamicins - therapeutic use</topic><topic>Hepatitis B - complications</topic><topic>Humans</topic><topic>Male</topic><topic>Peritonitis - drug therapy</topic><topic>Peritonitis - etiology</topic><topic>Streptococcal Infections - drug therapy</topic><topic>Streptococcal Infections - etiology</topic><topic>Streptococcus pneumoniae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thomas, Fred B</creatorcontrib><creatorcontrib>Fromkes, John J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Journal of clinical gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thomas, Fred B</au><au>Fromkes, John J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous Bacterial Peritonitis Associated with Acute Viral Hepatitis</atitle><jtitle>Journal of clinical gastroenterology</jtitle><addtitle>J Clin Gastroenterol</addtitle><date>1982-06</date><risdate>1982</risdate><volume>4</volume><issue>3</issue><spage>259</spage><epage>262</epage><pages>259-262</pages><issn>0192-0790</issn><eissn>1539-2031</eissn><abstract>Spontaneous bacterial peritonitis (SBP) occurs most frequently in patients with cirrhosis and preexistent ascites; SBP has not been previously recognized in association with acute liver disease. We report two patients with acute hepatitis B infection who developed SBP. Patient 1 had Streptococcus pneumoniae peritonitis and bacteremia, but did not have ascites until after the peritoneal infection was evident. Subsequent liver biopsy and follow-up studies confirmed the clinical diagnosis of acute hepatitis. Patient 2 had sub-massive hepatic necrosis due to hepatitis B and developed ascites before Streptococcus fecalis SBP. Although the association of SBP with acute hepatic injury is rare, these two patients illustrate that the syndrome of SBP does occur with acute liver disease.</abstract><cop>United States</cop><pub>Lippincott-Raven Publishers</pub><pmid>6808053</pmid><doi>10.1097/00004836-198206000-00012</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0192-0790 |
| ispartof | Journal of clinical gastroenterology, 1982-06, Vol.4 (3), p.259-262 |
| issn | 0192-0790 1539-2031 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Ovid Autoload |
| subjects | Adolescent Adult Ampicillin - therapeutic use Clindamycin - therapeutic use Enterococcus faecalis Female Gentamicins - therapeutic use Hepatitis B - complications Humans Male Peritonitis - drug therapy Peritonitis - etiology Streptococcal Infections - drug therapy Streptococcal Infections - etiology Streptococcus pneumoniae |
| title | Spontaneous Bacterial Peritonitis Associated with Acute Viral Hepatitis |
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