Spontaneous bacterial peritonitis due to Listeria monocytogenes: importance of enrichment culture.
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.
Jayasinghe
Saroj
S
Department of Microbiology, NHS Dumfries and Galloway, Dumfries, UK.
Connor
Martin
M
Donaldson
Shona
S
Austin
Hannah
H
Foster
Adele
A
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*
D003470:Culture Media