Spontaneous Bacterial Peritonitis Caused by Listeria monocytogenes Associated with Ascitic Fluid Lymphocytosis: A Case Report and Review of Current Empiric Therapy.
Spontaneous bacterial peritonitis (SBP) is a potentially deadly complication of ascites. We describe a case of SBP caused by Listeria monocytogenes in a patient with alcoholic cirrhosis. This was associated with the unusual finding of ascitic fluid lymphocytosis, which previously had only been associated with tuberculoid or malignant ascites. Given increasing rates of cefotaxime-resistant SBP alongside the possibility of Listeriosis, the use of cefotaxime as first-line therapy in SBP should be reevaluated.
University of Pittsburgh School of Medicine, 4601 Bayard Street, Pittsburgh, PA 15213, USA.
Todd
0000-0001-5933-4484
T
Yecies
University of Pittsburgh and VA Pittsburgh Healthcare System (VAPHS), Pittsburgh, PA 15213, USA.
Sanae
0000-0003-2561-9670
S
Inagami