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Gewählte Publikation:

Horina, JH; Hammer, HF; Reisinger, EC; Enzinger, GF; Holzer, H; Krejs, GJ.
Spontaneous bacterial peritonitis in a hemodialysis patient with systemic lupus erythematosus.
Nephron. 1993; 65(4):633-635 Doi: 10.1159/000187577 (- Case Report)
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Führende Autor*innen der Med Uni Graz
Horina Joerg
Co-Autor*innen der Med Uni Graz
Hammer Heinz
Holzer Herwig
Krejs Günter Josef

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Spontaneous bacterial peritonitis (SBP) is defined as infection of preexisting ascites without evidence for any intraabdominal source for secondary infection. SBP is now recognized with rising frequency and has mainly been reported in patients with alcohol-induced cirrhosis of the liver. We report SBP in a female dialysis patient whose ascites was not due to liver disease, but was possibly due to lupus erythematosus or represented 'nephrogenic ascites'. The patient had severe abdominal pain and a positive rebound phenomenon, fever and an elevated peripheral white cell count of 21,000 cells/microliters. Ascitic fluid analysis revealed an exudate with a protein concentration of 5.2 g/dl, 13,000 white cells/microliters with 94% neutrophils and positive cultures for Streptococcus morbillorum. Because of the dramatic clinical features the patient underwent laparotomy which did not reveal a source for secondary infection and in retrospect was unnecessary. The patient responded well to antibiotic therapy. This case report draws attention to SBP as a cause of acute abdomen in patients on chronic hemodialysis.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Ascites - microbiology Ascites - pathology
Female -
Humans -
Lupus Erythematosus, Systemic - complications Lupus Erythematosus, Systemic - pathology
Peritonitis - etiology Peritonitis - microbiology Peritonitis - pathology
Renal Dialysis -
Streptococcal Infections -
Streptococcus - isolation and purification

Find related publications in this database (Keywords)
Spontaneous Bacterial Peritonitis
Systemic Lupus Erythematosus
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