Spontaneous bacterial peritonitis in a 45-year-old man with ethanolic liver cirrhosis

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...

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Bibliographic Details
Main Authors: Roxana Mirică, Farid Rouhan, Doina-Maria Neamțu
Format: Article
Language:English
Published: Amaltea Medical Publishing House 2020-06-01
Series:Romanian Medical Journal
Subjects:
spontaneous bacterial peritonitis
decompensated liver cirrhosis
ascites
Online Access:https://rmj.com.ro/articles/2020.2/RMJ_2020_2_Art-17.pdf
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spelling doaj-e6f017ae917c45b18a389e51b4248e2c2021-09-02T21:17:53ZengAmaltea Medical Publishing HouseRomanian Medical Journal1220-54782069-606X2020-06-0167220120610.37897/RMJ.2020.2.17Spontaneous bacterial peritonitis in a 45-year-old man with ethanolic liver cirrhosisRoxana Mirică0Farid Rouhan1Doina-Maria Neamțu2Universitatea de Medicină și Farmacie „Carol Davila“, București, România; Institutul Național de Expertiză Medicală și Recuperare a Capacității de Muncă, București, RomâniaSpitalul Clinic Colentina, București, RomâniaInstitutul Național de Expertiză Medicală și Recuperare a Capacității de Muncă, București, RomâniaSpontaneous 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.https://rmj.com.ro/articles/2020.2/RMJ_2020_2_Art-17.pdfspontaneous bacterial peritonitisdecompensated liver cirrhosisascites
collection DOAJ
language English
format Article
sources DOAJ
author Roxana Mirică
Farid Rouhan
Doina-Maria Neamțu
spellingShingle Roxana Mirică
Farid Rouhan
Doina-Maria Neamțu
Spontaneous bacterial peritonitis in a 45-year-old man with ethanolic liver cirrhosis
Romanian Medical Journal
spontaneous bacterial peritonitis
decompensated liver cirrhosis
ascites
author_facet Roxana Mirică
Farid Rouhan
Doina-Maria Neamțu
author_sort Roxana Mirică
title Spontaneous bacterial peritonitis in a 45-year-old man with ethanolic liver cirrhosis
title_short Spontaneous bacterial peritonitis in a 45-year-old man with ethanolic liver cirrhosis
title_full Spontaneous bacterial peritonitis in a 45-year-old man with ethanolic liver cirrhosis
title_fullStr Spontaneous bacterial peritonitis in a 45-year-old man with ethanolic liver cirrhosis
title_full_unstemmed Spontaneous bacterial peritonitis in a 45-year-old man with ethanolic liver cirrhosis
title_sort spontaneous bacterial peritonitis in a 45-year-old man with ethanolic liver cirrhosis
publisher Amaltea Medical Publishing House
series Romanian Medical Journal
issn 1220-5478
2069-606X
publishDate 2020-06-01
description 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.
topic spontaneous bacterial peritonitis
decompensated liver cirrhosis
ascites
url https://rmj.com.ro/articles/2020.2/RMJ_2020_2_Art-17.pdf
work_keys_str_mv AT roxanamirica spontaneousbacterialperitonitisina45yearoldmanwithethanoliclivercirrhosis
AT faridrouhan spontaneousbacterialperitonitisina45yearoldmanwithethanoliclivercirrhosis
AT doinamarianeamtu spontaneousbacterialperitonitisina45yearoldmanwithethanoliclivercirrhosis
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