Spontaneous bacterial peritonitis caused by Listeria monocytogenes

• Verfasst von: Meurer, Amelie Johanna [VerfasserIn]
• Verfasst von: Antoni, Christoph Helmer [VerfasserIn]
• Verfasst von: Ebert, Matthias [VerfasserIn]
• Verfasst von: Trimborn, Anna [VerfasserIn]
• Verfasst von: Hirth, Michael [VerfasserIn]
• Titel: Spontaneous bacterial peritonitis caused by Listeria monocytogenes
• Titelzusatz: a rare infection with very high leukocyte counts in ascitic fluid-case report and review of the literature
• Verf.angabe: Amelie Meurer, Christoph Antoni, Matthias P. Ebert, Anna Trimborn, Michael Hirth
• E-Jahr: 2023
• Jahr: 29 April 2023
• Umfang: 5 S.
• Fussnoten: Online verfügbar 26. April 2023, Artikelversion 29. April 2023 ; Gesehen am 16.06.2023
• Titel Quelle: Enthalten in: Clinics and research in hepatology and gastroenterology
• Ort Quelle: Amsterdam : Elsevier Masson, 2011
• Jahr Quelle: 2023
• Band/Heft Quelle: 47(2023), 6 vom: Apr., Artikel-ID 102130, Seite 1-5
• ISSN Quelle: 2210-741X
• DOI: doi:10.1016/j.clinre.2023.102130
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Infection
• Sach-SW: Spontaneous bacterial peritonitis, Cirrhosis, Listeria monocytogenes, Ascites
• K10plus-PPN: 1850440077

Abstract

We present a rare case of Listeria monocytogenes-induced spontaneous bacterial peritonitis (SBP) in cirrhosis. Examination of the patient's peritoneal fluid revealed an extremely high leukocyte count. We suspect, that the patient belongs to 1% of individuals in which Listeria monocytogenes is part of the intestinal flora. Cephalosporins as empiric antibiotics have a Listeria gap. A combination of aminopenicillin and aminoglycoside is recommended. Therefore, early microbiological diagnosis from ascites and blood is essential. Listeria should be considered as a rare cause of SBP, especially in case of very high leukocyte count in peritoneal fluid or lack of response to empiric therapy.