Bacterial peritonitis secondary to a perinephric abscess. Case report and differentiation from spontaneous bacterial peritonitis |
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| Authors: | B A Runyon |
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| Affiliation: | 1. School of Health Sciences and Health Innovations Research Institute, RMIT University, Bundoora, VIC 3083, Australia;2. Lung Health Research Centre, Department of Pharmacology & Therapeutics, The University of Melbourne, VIC 3010, Australia;1. Division of Plastic and Reconstructive Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, United States;2. Parascalpmicro Institute, New York, NY, United States |
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| Abstract: | A cirrhotic patient is described who presented with Escherichia coli septic arthritis as the first manifestation of a perinephric abscess. Results of baseline abdominal paracentesis were unremarkable. After 10 days of antibiotics, abdominal paracentesis was repeated because of recurrence of fever; E. coli peritonitis was confirmed. Subsequent autopsy revealed a perinephric abscess. Development of bacterial peritonitis during antibiotic treatment is distinctly unusual in the "spontaneous" form of peritonitis and should raise suspicion of secondary bacterial peritonitis. |
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