[Spontaneous bacterial peritonitis: studies of the incidence and clinical and laboratory chemical parameters].
In a prospective study on 151 patients with cirrhosis of the liver we found 9 episodes of spontaneous bacterial peritonitis (SBP) in 8 patients (5.3% of the whole population or 18% of the ascitic patients). There was a clear difference in WBC-count, polymorphonuclear cell count, LDH and lactate in the ascitic fluid between SBP and controls. Clinical symptoms were discrete. 6 of 8 patients had an advanced form of cirrhosis belonging to Child-grade C. Half of patients died. The clinical situation of the 4 survivors improved after antibiotic treatment. Ascitic analysis of WBC and PMC-count in combination with LDH and lactate may reveal SBP as the reason of fever or clinical impairment in cirrhotics.
Höring
E
E
Medizinische Klinik Krankenhaus Bad Cannstatt, Stuttgart.
Kubin
S
S
von Gaisberg
U
U
D001202:Ascitic Fluid / Q000737:chemistry*; D001424:Bacterial Infections / Q000175:diagnosis*; D001431:Bacteriological Techniques; D001786:Blood Glucose / Q000032:analysis; D001798:Blood Proteins / Q000032:analysis; D002784:Cholesterol / Q000032:analysis; D005500:Follow-Up Studies; D006501:Hepatic Encephalopathy / Q000175:diagnosis; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007770:L-Lactate Dehydrogenase / Q000032:analysis; D007773:Lactates / Q000032:analysis; D019344:Lactic Acid; D007958:Leukocyte Count; D008103:Liver Cirrhosis / Q000175:diagnosis*; D010538:Peritonitis / Q000175:diagnosis*; D011446:Prospective Studies; D013203:Staphylococcal Infections / Q000175:diagnosis; D013290:Streptococcal Infections / Q000175:diagnosis
D001786:Blood Glucose; D001798:Blood Proteins; D007773:Lactates; D019344:Lactic Acid; D002784:Cholesterol; D007770:L-Lactate Dehydrogenase
Spontane bakterielle Peritonitis: Untersuchungen zur Inzidenz sowie zu klinischen und laborchemischen Parametern.