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Spontaneous bacterial peritonitis associated with cardiac ascites
The American Journal of Gastroenterology
|October 1, 1984
Summary
A rare case of fatal spontaneous bacterial peritonitis occurred in a patient with cardiac ascites. This condition, typically seen in liver cirrhosis, highlights a new association for bacterial peritonitis.
Area of Science:
- Internal Medicine
- Cardiology
- Infectious Diseases
Background:
- Spontaneous bacterial peritonitis (SBP) is a common infection in patients with decompensated cirrhosis.
- SBP typically arises from the translocation of gut bacteria into the peritoneal cavity.
Observation:
- This report details a unique case of SBP in a patient presenting with cardiac ascites.
- Cardiac ascites, fluid accumulation due to heart failure, is not a commonly recognized risk factor for SBP.
Findings:
- The patient developed fatal spontaneous bacterial peritonitis in the context of cardiac ascites.
- This represents a novel association, as SBP is rarely reported in patients with cardiac ascites.
Implications:
- This case expands the known clinical spectrum of spontaneous bacterial peritonitis.
- Clinicians should consider SBP in patients with cardiac ascites, even in the absence of underlying liver disease.
- Further research is warranted to understand the mechanisms and prevalence of SBP in cardiac ascites.