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secondary bacterial peritonitis (including tuberculous peritonitis)
Etiology:
1) Enterobacteriaceae
2) anaerobes
3) Enterococci
4) Staphylococcus
5) Mycobacterium tuberculosis
6) Neisseria gonorrhoeae
Laboratory:
- ascitic fluid analysis
- leukocytosis with predminance of lymphocytes suggests tuberculous peritonitis
Management: (presumed GI source)
1) hospitalization is indicated for patients with
a) sepsis
b) resistant or recurrent infections
c) suspicion of organ perforation or abscess formation
2) ampicillin or mezlocillin & aminoglycoside & clindamycin or metronidazole
3) cefoxitin or imipenem for community-acquired peritonitis
Related
paracentesis
Specific
bacterial peritonitis associated with peritoneal dialysis
tuberculous peritonitis
General
bacterial peritonitis (BP)
References
- Manual of Medical Therapeutics, 28th ed, Ewald & McKenzie
(eds), Little, Brown & Co, Boston, 1995, pg 275, 276, 312, 378
- Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed)
Lippincott-Raven, Philadelphia, 1998, pg 326
- Medical Knowledge Self Assessment Program (MKSAP) 11, American
College of Physicians, Philadelphia 1998