listeria monocytogenes as a cause of spontaneous bacterial peritonitis: a rare entity

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2015
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Abstract
Listeria is an uncommon cause of spontaneous bacterial peritonitis (SBP) in the United States. Listeria should be suspected as a cause of SBP when the patient has diphtheria-like organisms on ascitic/blood cultures, iron overload/hemochromatosis, exposure to farm animals, or poor response to empiric therapy within 48–72 h. Diagnosis of SBP is made if the ascitic fluid shows polymorphonuclear cell count >250 cells/mm3 without an intra-abdominal source of infection. Ampicillin with or without an aminoglycoside is the treatment of choice. Trimethoprim-sulfamethoxazole is recommended for prophylaxis in patients with a previous episode of Listeria SBP.
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Authors ;Bilal Shaikh;Ranjan Pathak;Naba Raj Mainali;Shobhit Gupta
Journal Mathematical biosciences
Year 2015
DOI
10.3402/jchimp.v5.26153
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