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

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

Received 9 June 2013

Accepted for publication 29 June 2013

Published 19 August 2013 Volume 2013:6 Pages 689—691

DOI https://doi.org/10.2147/IJGM.S49658

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

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

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