eCureMe logo
  eCureMe home eCureMe log In Sign Up!
eCureMe Life : Your Healthy Living. Click Here!
Welcome, medical contents search December 23, 2015
       eCureMe Life
       Medical Supplies
       Calorie Count
       Physician Search
       Message Board
      E-mail Doctor
      E-mail Veterinarian
      Health-O-Matic Meter
      Calorie Count
      Natural Medicine
      Vitamins & Minerals
      Alternative Living
      My Health Chart
      Diseases & Treatments
      Atlas of Diseases
      Sexually Transmitted
      Drug Information
      Illegal Drugs
      Lab & Diagnostic Tests
      Internal Medicine
      Women’s Health
      Eye Disorders
      Skin Disorders
      Mental Health
      Resource Links
      Physician Directory
      Dentist Directory
      Hospital Directory

Spontaneous Bacterial Peritonitis

more about Spontaneous Bacterial Peritonitis

  • The peritoneum is the name given for the inside of the abdomen where the stomach, intestines and colon reside.  Peritonitis is a disease state in which the peritoneum becomes infected.  "Spontaneous" means that the infection occurred without a specific cause.  Secondary Bacterial Peritonitis is an infection that occurs due to specific causes, such as when the bowel is perforated and feces gets into the peritoneum.

  • Feeling ill
  • Fever
  • Abdominal pain
  • Confusion
  • Mental changes

  • Examination:
    1. Ascites (fluid) present -- abdomen is enlarged from fluid
    2. Liver may be enlarged
    3. Abdominal tenderness (only in about 50%)
    4. Tenderness to percussion (only in about 15%)
  • Laboratory:
    1. Paracentesis is performed -- fluid is taken from abdomen and sent to the laboratory to check for cell count and culture.
    2. If the total protein in the peritoneal fluid is greater than 1gram/dL, it is unlikely that spontaneous peritonitis is the diagnosis.
    3. If the cell count is greater than 250 neutrophils/uL, then the diagnosis is most likely bacterial peritonitis.
    4. If cell count is greater than 10,000 neutrophils/uL, glucose level is low(<50mg/dL), LDH is greater than serum LDH, or total protein is above 1 gram, all suggest secondary bacterial peritonitis.

  • Occurs almost exclusively in persons with Ascites (fluid in the abdomen) due to liver disease

  • Third generation Cephalosporin antibiotic such as Cefotaxime
  • Ampicillin is added if the Enterococcus infection is suspected

  • You need immediate emergency medical treatment.  If treated early, there is an over 90% cure rate, but if it is not caught early, there is risk of death of approximately 50%.

  • In those persons who have had repeat episodes of Spontaneous Bacterial Peritonitis, prophylaxis (continued treatment) with daily antibiotics such as Trimethoprim-sulfamethoxazole or Norfloxacin.
  • If persons who have not had Spontaneous Bacterial Peritonitis, but are at high risk (low-protein <1gram/dL in peritoneal fluid), are usually treated with prophylactic Trimethoprim-Sulfamethoxazole (5 days per week) or ciprofloxacin once a week

  • Secondary bacterial peritonitis
  • Tuberculous peritonitis
  • Peritoneal carcinomatosis

more about Spontaneous Bacterial Peritonitis

If you want your friend to read or know about this article, Click here

medical contents search

Home   |   About Us   |   Contact Us   |   Employment Ad   |   Help

Terms and Conditions under which this service is provided to you. Read our Privacy Policy.
Copyright © 2002 - 2003 eCureMe, Inc All right reserved.