Spontaneous bacterial peritonitis presenting as a perforated viscus.
A young man with severe nephrotic syndrome and symptoms suggestive of peptic ulcer disease treated with steroids developed symptoms and signs of peritonitis and pneumoperitoneum. Laparotomy and ascitis fluid culture revealed B. fragilis peritonitis without any perforation, suggesting a diagnosis of spontaneous primary peritonitis.
D000328:Adult; D001424:Bacterial Infections / Q000209:etiology; D001442:Bacteroides Infections / Q000175:diagnosis* / Q000209:etiology; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009404:Nephrotic Syndrome / Q000150:complications; D010439:Peptic Ulcer Perforation / Q000175:diagnosis*; D010538:Peritonitis / Q000175:diagnosis* / Q000209:etiology