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Secondary bacterial peritonitis due to Listeria monocytogenes after paracentesis
1University of Missouri-Kansas City School of Medicine.
Southern Medical Journal
|February 1, 1990
Abstract:
Although it is a relatively rare cause of peritonitis, Listeria monocytogenes must be considered in cirrhotic patients with ascites and a suggestive clinical presentation. We believe this is the first report of a case of peritonitis due to L monocytogenes in a patient without sepsis, and the sixth reported case of bacterial peritonitis in a patient with cirrhosis.
Insights
Listeria monocytogenes peritonitis is rare but should be considered in cirrhotic patients with ascites. This case highlights a rare instance of Listeria monocytogenes peritonitis without sepsis in a patient with cirrhosis.
Area of Science:
- Infectious Diseases
- Hepatology
- Microbiology
Background:
- Cirrhosis is a significant risk factor for spontaneous bacterial peritonitis (SBP).
- Listeria monocytogenes is an uncommon pathogen causing peritonitis, particularly in patients with cirrhosis.
Observation:
- A case of peritonitis caused by Listeria monocytogenes in a patient with cirrhosis is presented.
- The patient did not present with sepsis, which is unusual for Listeria monocytogenes infections.
Findings:
- This represents the first reported case of Listeria monocytogenes peritonitis in a patient with cirrhosis and without sepsis.
- This is the sixth reported case of bacterial peritonitis in a patient with cirrhosis.
Implications:
- Clinicians should consider Listeria monocytogenes in the differential diagnosis of peritonitis in cirrhotic patients, even without sepsis.
- This case expands the understanding of Listeria monocytogenes as a cause of peritonitis in immunocompromised individuals.