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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
Summary
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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