Spontaneous bacterial peritonitis in a patient with myxedema ascites.
Ascites is uncommon in patients with hypothyroidism. Herein we describe an 84-year-old female patient with myxedema ascites that resolved completely with thyroid replacement medication. Bacteriological studies of the ascitic fluid revealed gram-negative rods which eventually proved to be Klebsiella pneumoniae treated successfully with antibiotics. Our review of the literature failed to reveal a previous case of myxedema ascites with concomitant subclinical spontaneous bacterial peritonitis.
Division of Gastroenterology, Mercy Hospital, Miami, FL 33133, USA.
Laura E
LE
Alberti
Alfredo
A
Lopez-Gomez
Juan J
JJ
Alberti-Flor
D000368:Aged; D000369:Aged, 80 and over; D000890:Anti-Infective Agents / Q000627:therapeutic use; D001201:Ascites / Q000209:etiology*; D005260:Female; D006801:Humans; D007037:Hypothyroidism / Q000150:complications* / Q000188:drug therapy; D007711:Klebsiella pneumoniae / Q000302:isolation & purification; D008111:Liver Function Tests; D009230:Myxedema / Q000209:etiology*; D015242:Ofloxacin / Q000627:therapeutic use; D010538:Peritonitis / Q000188:drug therapy / Q000382:microbiology*; D013960:Thyroid Function Tests
D000890:Anti-Infective Agents; D015242:Ofloxacin