title: Spontaneous bacterial peritonitis due to Listeria monocytogenes: importance of enrichment culture.
abstract: A case of Listeria monocytogenes induced spontaneous bacterial peritonitis (SBP) is reported in a patient with primary biliary cirrhosis. It is an indolent illness and may not show a neutrophil reaction in peritoneal fluid. Enrichment broth was required to isolate L monocytogenes in the patient. This is not routinely used in the UK and therefore isolates may be missed. L monocytogenes remains sensitive to ampicillin, penicillin and gentamicin, but is resistant to cephalosporin antibiotics. The rising incidence of listeriosis in the population suggests that the incidence of SBP from L monocytogenes is likely to increase.
authors.affiliation: Department of Microbiology, NHS Dumfries and Galloway, Dumfries, UK.
authors.forename: Saroj
authors.initials: S
authors.lastname: Jayasinghe
authors.forename: Martin
authors.initials: M
authors.lastname: Connor
authors.forename: Shona
authors.initials: S
authors.lastname: Donaldson
authors.forename: Hannah
authors.initials: H
authors.lastname: Austin
authors.forename: Adele
authors.initials: A
authors.lastname: Foster
mesh_terms: D000368:Aged; D001202:Ascitic Fluid / Q000382:microbiology; D001431:Bacteriological Techniques / Q000379:methods; D003470:Culture Media; D005188:False Negative Reactions; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008089:Listeria monocytogenes / Q000302:isolation & purification; D008088:Listeriosis / Q000175:diagnosis*; D008105:Liver Cirrhosis, Biliary / Q000150:complications; D010538:Peritonitis / Q000382:microbiology*
chemical_list: D003470:Culture Media