Bacterial peritonitis secondary to a perinephric abscess. Case report and differentiation from spontaneous bacterial peritonitis.
A cirrhotic patient is described who presented with Escherichia coli septic arthritis as the first manifestation of a perinephric abscess. Results of baseline abdominal paracentesis were unremarkable. After 10 days of antibiotics, abdominal paracentesis was repeated because of recurrence of fever; E. coli peritonitis was confirmed. Subsequent autopsy revealed a perinephric abscess. Development of bacterial peritonitis during antibiotic treatment is distinctly unusual in the "spontaneous" form of peritonitis and should raise suspicion of secondary bacterial peritonitis.
D000038:Abscess / Q000150:complications*; D000368:Aged; D001170:Arthritis, Infectious / Q000209:etiology; D004927:Escherichia coli Infections / Q000150:complications*; D006801:Humans; D007674:Kidney Diseases / Q000150:complications*; D007719:Knee Joint; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications; D008297:Male; D010538:Peritonitis / Q000175:diagnosis / Q000209:etiology*