Listerial Spontaneous Bacterial Peritonitis. Cureus 2022 Feb;14(2):e22051
Date
03/29/2022Pubmed ID
35340468Pubmed Central ID
PMC8915950DOI
10.7759/cureus.22051Abstract
Spontaneous bacterial peritonitis (SBP) is a severe complication of ascites often seen in advanced hepatic disease that is most commonly caused by Gram-negative bacilli. Here, we report a rare case of Listeria monocytogenes SBP, diagnosed by peritoneal fluid culture and responsive to ampicillin, in a patient with portal hypertension secondary to nodular regenerative hyperplasia. Because Listeria species are resistant to empiric SBP therapies and delays in treatment have been associated with increased mortality, they must be considered in high-risk patients.