title: Spontaneous bacterial peritonitis caused by Listeria monocytogenes: a case report and literature review.
abstract: Spontaneous bacterial peritonitis (SBP) is a common and often serious complication of long standing ascites in the presence of advanced liver disease.1 We report a case of a 51- year-old man with alcoholic cirrhosis admitted to our department with jaundice, ascitis and lower limbs edema. A diagnosis of spontaneous bacterial peritonitis was made and empiric therapy with cefotaxime was prescribed with no response. Three days later Listeria monocytogenes was detected in peritoneal fluid culture and amoxicillin was initiated according to in vitro sensibility test. Despite adequate antibiotic therapy, the patient died one week later.
authors.affiliation: Departament of Gastroenterology, Centro Hospitalar de Setúbal, Setúbal, Portugal. claudiamarcal@gmail.com
authors.forename: Cláudia
authors.initials: C
authors.lastname: Cardoso
authors.forename: Isabelle
authors.initials: I
authors.lastname: Cremers
authors.forename: Ana Paula
authors.initials: AP
authors.lastname: Oliveira
mesh_terms: D000658:Amoxicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001202:Ascitic Fluid / Q000382:microbiology; D002439:Cefotaxime / Q000627:therapeutic use; D017809:Fatal Outcome; D006801:Humans; D008089:Listeria monocytogenes / Q000302:isolation & purification*; D008088:Listeriosis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications*; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D017211:Treatment Failure
chemical_list: D000900:Anti-Bacterial Agents; D000658:Amoxicillin; D002439:Cefotaxime