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Spontaneous Bacterial Peritonitis in Cardiogenic Ascites
Muhammad Usman Zafar1, Jasraj Marjara2, Zahid Ijaz Tarar2
1Hospital Medicine, Lehigh Valley Health Network, Allentown, USA.
Cureus
|November 19, 2020
Summary
This case highlights spontaneous bacterial peritonitis (SBP) complicating ascites of cardiac origin after pericardiectomy. This rare temporal association of SBP and cardiac ascites warrants further investigation.
Area of Science:
- Cardiology
- Gastroenterology
- Infectious Diseases
Background:
- Ascites, commonly caused by liver cirrhosis, can also stem from heart failure, cancer, and pancreatitis.
- Spontaneous bacterial peritonitis (SBP) is an infection of ascitic fluid without a surgically treatable cause.
- Ascites of cardiac origin is a recognized, though less common, etiology.
Observation:
- A 62-year-old male with cardiac history presented with dyspnea, orthopnea, abdominal distention, and edema.
- Constrictive pericarditis was diagnosed, leading to pericardiectomy.
- Ascitic fluid analysis revealed a transudative process, consistent with cardiac origin, excluding liver or kidney disease.
Findings:
- Postoperatively, the patient developed intermittent fevers.
- These fevers were initially attributed to pericarditis but were ultimately diagnosed as SBP.
- This represents a rare instance of SBP complicating cardiac ascites following pericardiectomy.
Implications:
- This case underscores the potential for SBP to complicate ascites of cardiac origin, particularly after cardiac surgery.
- The temporal association of SBP following pericardiectomy for constrictive pericarditis is infrequently reported.
- Further research is needed to understand this specific complication and optimize patient management.
Keywords:
cardiac ascitesconstrictive pericarditisparacentesispericardiectomysaagspontaneous bacterial peritonitisMore Related Videos
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