Abdominal tenderness in ascites patients indicates spontaneous bacterial peritonitis

European Journal of Internal Medicine

Volumn 18, Issue 1, 2007, Pages 44-47

  Wallerstedt, Sven ^a   Olsson, Rolf ^a   Simrén, Magnus ^a   Broomé, Ulrika ^b   Wahlin, Staffan ^b   Lööf, Lars ^c   Hultcrantz, Rolf ^b   Sjöberg, Klas ^d   Gertzén, Hanna Sandberg ^e   Prytz, Hanne ^d   Almer, Sven ^f  

^a SAHLGRENSKA UNIVERSITY HOSPITAL   (Sweden)

^b KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

^c UPPSALA UNIVERSITY HOSPITAL   (Sweden)

^d LUND UNIVERSITY HOSPITAL   (Sweden)

^e ÖREBRO UNIVERSITY HOSPITAL   (Sweden)

^f LINKÖPING UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Cirrhosis; Diagnosis; Signs; Spontaneous bacterial peritonitis; Symptoms

Indexed keywords

ANTIBIOTIC AGENT; CORTISONE;

ABDOMINAL PAIN; ABDOMINAL TENDERNESS; ADULT; ANAMNESIS; ARTICLE; ASCITES; ASCITES FLUID; BACTERIAL PERITONITIS; BLOOD SAMPLING; CLINICAL FEATURE; CLINICAL PRACTICE; CONTROLLED STUDY; DIAGNOSTIC PROCEDURE; ESCHERICHIA COLI; FEMALE; HUMAN; LABORATORY TEST; LIVER CIRRHOSIS; MAJOR CLINICAL STUDY; MALE; NEUTROPHIL; PHYSICAL EXAMINATION; STREPTOCOCCUS INFECTION; SWEDEN; UNIVERSITY HOSPITAL; URINALYSIS;

EID: 33846073819     PISSN: 09536205     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ejim.2006.07.022     Document Type: Article

References (15)

1. Rimola A., Garcia-Tsao G., Navasa M., Piddock L.J.V., Planas R., Bernard B., et al., and the International Ascites Club. Diagnosis, treatment and prophylaxis of spontaneous bacterial peritonitis: a consensus document. J Hepatol 32 (2000) 142-153
2. Conn H.O. Spontaneous peritonitis and bacteremia in Laennec's cirrhosis caused by enteric organisms. A relatively common but rarely recognized syndrome. Ann Intern Med 60 (1964) 568-580
3. Runyon B.A., and Hoefs J.C. Culture-negative neutrocytic ascites: a variant of spontaneous bacterial peritonitis. Hepatology 4 (1984) 1209-1211
4. Bhuva M., Ganger D., and Jensen D. Spontaneous bacterial peritonitis: an update on evaluation, management, and prevention. Am J Med 97 (1994) 169-175
5. Such J., and Runyon B.A. Spontaneous bacterial peritonitis. Clin Infect Dis 27 (1998) 669-676
6. Evans L.T., Kim W.R., Poterucha J.J., and Kamath P.S. Spontaneous bacterial peritonitis in asymptomatic outpatients with cirrhotic ascites. Hepatology 37 (2003) 897-901
7. Albers I., Hartmann H., Bircher J., and Creutzfeldt W. Superiority of the Child-Pugh classification to quantitative liver function tests for assessing prognosis of liver cirrhosis. Scand J Gastroenterol 24 (1989) 269-276
8. Runyon B.A. Low-protein-concentration ascitic fluid is predisposed to spontaneous bacterial peritonitis. Gastroenterology 91 (1986) 1343-1346
9. Hoefs J.C. Increase in ascites white blood cell and protein concentrations during diuresis in patients with chronic liver disease. Hepatology 1 (1981) 249-254
10. Good P. Permutation tests (2000), Springer-Verlag, New York
11. Almdal T.P., and Skinhoej P. Spontaneous bacterial peritonitis in cirrhosis. Scand J Gastroenterol 22 (1987) 295-300
12. Jarcuska P., Veseliny E., Orolin M., Takacova V., and Hancova M. Spontaneous bacterial peritonitis in the patients with liver cirrhosis. Klin Mikrobiol Infekc Lek 10 (2004) 265-270
13. Andreu M., Sola R., Sitges-Serra A., Alia C., Gallen M., Vila M.C., et al. Risk factors for spontaneous bacterial peritonitis in cirrhotic patients with ascites. Gastroenterology 104 (1993) 1133-1138
14. Runyon B.A. Ascites. In: Schiff L., and Schiff E.R. (Eds). Diseases of the Liver. 7th edition (1993), JB Lippincott Company, Philadelphia 990-1015
15. Filik L., and Unal S. Clinical and laboratory features of spontaneous bacterial peritonitis. East Afr Med J 81 (2004) 474-479