| The high prevalence of Listeria monocytogenes peritonitis in cirrhotic patients of an Egyptian Medical Center. | |
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MedLine Citation:
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PMID: 22000850 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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BACKGROUND: Spontaneous bacterial peritonitis (SBP) is a potentially lethal complication of cirrhosis. It is probably the most characteristic infectious complication of cirrhosis. AIM: The aim of this study was to evaluate the bacterial and fungal causes of SBP in Egyptian population. Furthermore to predict the occurrence of rare pathogen like Listeria monocytogenes in those patients. MATERIALS AND METHODS: The study included 100 patients with end stage liver disease associated with ascites. Patients were suspected to have SBP. The ascitic fluids were subjected to full cytological and microbiological study. RESULTS: The peritoneal fluid cytological study revealed that 50 samples had cell counts >250cells/mm(3). 37 samples had growth and 13 samples had no growth (CNNA). The distribution of isolated pathogens was Gram positive cocci 48.8% followed by L. monocytogenes 24.4%, Gram negative bacilli 12.2% and Mycobacterium tuberculosis 7.3. The cells counts associated with listeria culture were 475cells/mm(3) with sensitivity 70% and specificity 68%. CONCLUSION: The study highlights the prevalence of microorganisms in Egyptian patients with liver cirrhosis associated with ascites. It reflects the occurrence of L. monocytogenes as an important pathogen of such clinical situation. Other rare pathogens like M. tuberculosis are not uncommon in those patients. |
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Authors:
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Maysaa El Sayed Zaki; Walaa Othman El Shabrawy; Mervat M El-Eshmawy; Shahera Aly Eletreby |
Publication Detail:
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Type: Journal Article Date: 2011-07-20 |
Journal Detail:
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Title: Journal of infection and public health Volume: 4 ISSN: 1876-035X ISO Abbreviation: J Infect Public Health Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-10-17 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101487384 Medline TA: J Infect Public Health Country: England |
Other Details:
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Languages: eng Pagination: 211-6 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Clinical Pathology, Mansoura Faculty of Medicine, Egypt. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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