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Spontaneous bacterial peritonitis due to streptococcus pneumoniae--case report

Andrzej Litarski1, Dariusz Janczak, Jan Cianciara

  • 1Department of Surgery, 4th Military Clinical Hospital in Wrocław.

Polski Przeglad Chirurgiczny
|December 15, 2011
PubMed

Insights

Spontaneous bacterial peritonitis (SBP) in a 38-year-old patient was successfully treated surgically. This case highlights surgical intervention for SBP, even in complex cases, leading to recovery.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Surgical Case Reports

Background:

  • Spontaneous bacterial peritonitis (SBP) is an infection of ascitic fluid, often occurring in cirrhosis patients.
  • Gastrointestinal tract pathogens cause approximately 70% of SBP infections.
  • Primary SBP lacks an identifiable intra-abdominal source.

Observation:

  • A 38-year-old patient presented with spontaneous bacterial peritonitis.
  • Diagnostic laparotomy confirmed primary SBP.
  • Ascitic fluid analysis identified Streptococcus pneumoniae as the causative agent.

Findings:

  • The patient underwent surgical treatment, including a re-laparotomy.
  • Bacteriological examination confirmed Streptococcus pneumoniae.
  • The patient was discharged in good health after 54 days of hospitalization.

Implications:

  • Surgical management can be effective for spontaneous bacterial peritonitis.
  • Early diagnosis and intervention are crucial for patient outcomes.
  • This case expands understanding of SBP management in surgical contexts.

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