Spontaneous bacterial peritonitis in a 45-year-old man with ethanolic liver cirrhosis
Spontaneous bacterial peritonitis is one of the most commun complication of decompensated liver cirrhosis. We report the case of a 44-year-old man, chronic alcohol user, who was hospitalized with progressive abdominal distention, fatigue and jaundice, the symptoms worsening in the last year. Physica...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Amaltea Medical Publishing House
2020-06-01
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| Series: | Romanian Medical Journal |
| Subjects: | |
| Online Access: | https://rmj.com.ro/articles/2020.2/RMJ_2020_2_Art-17.pdf |
| Summary: | Spontaneous bacterial peritonitis is one of the most commun complication of decompensated liver cirrhosis. We report the case of a 44-year-old man, chronic alcohol user, who was hospitalized with progressive abdominal distention, fatigue and jaundice, the symptoms worsening in the last year. Physical examination revealed an intense sclero-tegumentar jaundice, vascular stars on the anterior chest, palmar erythema, collateral circulation of the anterolateral abdominal wall, a large volume ascites and hepatosplenomegaly. Blood
tests showed anaemia, macrocytosis, thrombocytopenia and an abnormal liver function tests with an unfavorable evolution in one year. The outcome of the paracentesis was compatible with the diagnosis of spontaneous bacterial peritonitis (SBP) and Cefort (Ceftriaxone) 2 g once daily was administered. |
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| ISSN: | 1220-5478 2069-606X |