Non-typhoidal salmonella: an unusual cause of spontaneous bacterial peritonitis in decompensated cirrhosis.
Salmonella typhimurium, a non-typhoidal salmonella, is an unusual cause of spontaneous bacterial peritonitis (SBP). It is usually reported in asymptomatic patients with normal or high ascitic fluid protein levels with underlying immunosuppression, as high opsonic activity in the ascitic fluid of these patients protects them from the usual organisms causing spontaneous bacterial peritonitis, unless they are exposed to a particularly virulent organism like salmonella. We report a case of culture-proven non-typhoidal salmonella in a patient with decompensated cirrhosis, with low protein and without any underlying immunosuppression, and no other source to explain its origin.
Department of Medical Gastroenterology, Government Medical College, Thiruvananthapuram, Kerala, India drtony.gastro@gmail.com.
Tony
T
Joseph
Department of Medical Gastroenterology, Government Medical College, Thiruvananthapuram, Kerala, India.
Prasanth
P
Sobhan
Department of Medical Gastroenterology, Government Medical College, Thiruvananthapuram, Kerala, India.
Suthanu
S
Bahuleyan
Department of Medical Gastroenterology, Government Medical College, Thiruvananthapuram, Kerala, India.
Anil
A
John
Department of Medical Gastroenterology, Government Medical College, Thiruvananthapuram, Kerala, India.
Shanid
S
Abdul Sathar
Department of Medical Gastroenterology, Government Medical College, Thiruvananthapuram, Kerala, India.
Srijaya
S
Sreesh
Department of Medical Gastroenterology, Government Medical College, Thiruvananthapuram, Kerala, India.
Kattoor Ramakrishnan
KR
Vinayakumar
ascitic fluid protein; salmonella typhimurium; spontaneous bacterial peritonitis