skip to content
Dovepress - Open Access to Scientific and Medical Research
View our mobile site

15319

Spontaneous bacterial peritonitis with a very high leukocyte count in ascitic fluid caused by Haemophilus influenzae



Case report

(865) Total Article Views


Authors: Saadi T, Khoury S, Veitsman E, Baruch Y, Raz-Pasteur A

Published Date August 2013 Volume 2013:6 Pages 689 - 691
DOI: http://dx.doi.org/10.2147/IJGM.S49658

Tarek Saadi,1,2 Safie Khoury,3 Ella Veitsman,1 Yaacov Baruch,1,4 Ayelet Raz-Pasteur3,4

1Liver Unit, 2Department of Gastroenterology, 3Department of Internal Medicine A, Rambam Health Care Campus, Haifa, Israel; 4The Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel

Abstract: We report on a case of spontaneous bacterial peritonitis (SBP) due to Haemophilus influenzae (H. influenzae) in an elderly patient with alcoholic cirrhosis. The patient presented with a 5 day history of fever, cough, and fatigue. Abdominal paracentesis revealed a very high neutrophil count (134,800 cells/µL). Secondary peritonitis and abdominal abscess were ruled out. Peritoneal fluid culture displayed the growth of H. influenzae. The patient was treated with ceftriaxone and showed signs of improvement. Eventually, the patient died due to septic shock caused by other organisms. H. influenzae is a very rare cause of SBP. This case report demonstrates that (1) H. influenzae should be considered a potential cause of SBP, and (2) a very high leukocyte count in ascitic fluid can be found in patients with SBP.

Keywords: cirrhosis, spontaneous bacterial peritonitis, Haemophilus influenzae



Post to:
Cannotea Citeulike Del.icio.us Facebook LinkedIn Twitter

 

Other articles by Dr Tarek Saadi

  • Testimonials

    "I was impressed at the rapidity of publication from submission to final acceptance." Dr Edwin Thrower, PhD, Yale University.

  • MLA'14 -

    May 16–21, 2014
    Chicago