Spontaneous bacterial peritonitis causes: Difference between revisions
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|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" |'''Cardiovascular''' | |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" |'''Cardiovascular''' | ||
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | | |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | Cardiogenic ascites | ||
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|bgcolor="LightSteelBlue"| '''Chemical/Poisoning''' | |bgcolor="LightSteelBlue"| '''Chemical/Poisoning''' | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Drug Side Effect''' | | '''Drug Side Effect''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| Proton Pump Inhibitors and Beta Adrenergic Antagonists | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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| '''Gastroenterologic''' | | '''Gastroenterologic''' | ||
|bgcolor="Beige"| [[Chronic liver disease]], [[Cirrhosis ]], [[Intrahepatic blood shunting ]], [[Portal hypertension]] | |bgcolor="Beige"| [[Ascites]], [[Chronic liver disease]], [[Cirrhosis ]], [[Intrahepatic blood shunting ]], [[Portal hypertension]] | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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| '''Hematologic''' | | '''Hematologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Iatrogenic''' | | '''Iatrogenic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Continuous ambulatory peritoneal dialysis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Infectious Disease''' | | '''Infectious Disease''' | ||
|bgcolor="Beige"| [[Acinetobacter infections]], [[Actinomyces infections ]], [[Aerococcus urinae ]], [[Aeromonas hydrophila]], [[Arcanobacterium haemolyticum ]], [[Bacteroides fragilis]], [[Bordetella bronchiseptica]], [[Brucella infection]], [[Candida infection]], [[Citrobacter freundii]], [[Coccidioides immitis ]], [[Cryptococcus neoformans ]], [[Defective ascite bactericidal activity]], [[Enterococcus casseliflavus ]], [[Enterococcus faecalis ]], [[Enterococcus gallinarum ]], [[Enterococcus hirae ]], [[Escherichia coli ]], [[Gemella morbilorum ]], [[Haemophilus influenzae]], [[Haemophilus parainfluenzae ]], [[Klebsiella pneumonia]], [[Leclercia adecarboxylata ]], [[Leminorella grimontii ]], [[Listeria monocytogenes]], [[Neisseria meningitidis ]], [[Ochrobactrum anthropi ]], [[Plesiomonas shigelloides]], [[Proteus infections]], [[Pseudomonas aeruginosa ]], [[Salmonella paratyphi a ]], [[Salmonella typhimurium ]], [[Staphylococcus aureus ]], [[Streptococcus pneumoniae]], [[Streptococcus salivarius ]], [[Vibrio vulnificus]], [[Viridans group streptococci]] | |bgcolor="Beige"| [[Acinetobacter infections]], [[Actinomyces infections ]], [[Aerococcus urinae ]], [[Aeromonas hydrophila]], [[Arcanobacterium haemolyticum ]], [[Bacteroides fragilis]], [[Bordetella bronchiseptica]], [[Brucella infection]], [[Candida infection]], [[Citrobacter freundii]], [[Coccidioides immitis ]], [[Cryptococcus neoformans ]], [[Defective ascite bactericidal activity]], [[Enterococcus casseliflavus ]], [[Enterococcus faecalis ]], [[Enterococcus gallinarum ]], [[Enterococcus hirae ]], [[Escherichia coli ]], [[Gemella morbilorum ]], [[Haemophilus influenzae]], [[Haemophilus parainfluenzae ]], [[Klebsiella pneumonia]], [[Leclercia adecarboxylata ]], [[Leminorella grimontii ]], [[Listeria monocytogenes]], [[Neisseria meningitidis ]], [[Ochrobactrum anthropi ]], [[Plesiomonas shigelloides]], [[Proteus infections]], [[Pseudomonas aeruginosa ]], [[Salmonella paratyphi a ]], [[Salmonella typhimurium ]], [[Staphylococcus aureus ]], [[Streptococcus pneumoniae]], [[Streptococcus salivarius ]], [[Vibrio vulnificus]], [[Viridans group streptococci]] [[Mycobacterium Tuberculosis]] | ||
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| '''Nutritional/Metabolic''' | | '''Nutritional/Metabolic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| Malnutrition | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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| '''Miscellaneous''' | | '''Miscellaneous''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Malignant ascites]] | ||
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|} | |} |
Revision as of 20:19, 16 January 2017
Spontaneous bacterial peritonitis Microchapters |
Differentiating Spontaneous bacterial peritonitis from other Diseases |
Diagnosis |
Treatment |
Spontaneous bacterial peritonitis causes On the Web |
American Roentgen Ray Society Images of Spontaneous bacterial peritonitis causes |
Directions to Hospitals Treating Spontaneous bacterial peritonitis |
Risk calculators and risk factors for Spontaneous bacterial peritonitis causes |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2] Luke Rusowicz-Orazem, B.S.
Overview
- Spontaneous bacterial peritonitis is often a blood-borne infection caused by Enteric organisms-70% (Mono-microbial in 90%).
- Aerobic gram-negative bacteria like Escherichia coli account for half of the cases.
- Gram-positive cocci Streptococcussp in 20% cases with enterococcus accounting for 5% of the cases
- Staphylococcus aureus and Streptococcus salivarius are less frequent causes.
- Poly-microbial infection is mostly because of Iatrogenic cause (more likely associated with abdominal paracentesis) or intra-abdominal source of infection.
Causes
Common Causes
- Spontaneous bacterial peritonitis is often a blood-borne infection caused by Enteric organisms-70% (Mono-microbial in 90%).
- Aerobic gram-negative bacteria like Escherichia coli account for half of the cases.
- Gram-positive cocci Streptococcussp in 20% cases with enterococcus accounting for 5% of the cases
- Staphylococcus aureus and Streptococcus salivarius are less frequent causes.
- Poly-microbial infection is mostly because of Iatrogenic cause (more likely associated with abdominal paracentesis) or intra-abdominal source of infection.
A variety of abnormalities contributing to the infection were identified which include:
- GI bleeding
- ↑Colonization of the small bowel with prominent bacterial translocation
- ↓Opsonic activity in blood and ascitic fluid
- Impaired Compliment
- Leukocyte dysfunction
- ↓Antibodies
- ↑Immunosuppressive cytokines, endotoxin, TNF
Causes by Organ System
Cardiovascular | Cardiogenic ascites |
Chemical/Poisoning | No underlying causes |
Dental | No underlying causes |
Dermatologic | No underlying causes |
Drug Side Effect | Proton Pump Inhibitors and Beta Adrenergic Antagonists |
Ear Nose Throat | No underlying causes |
Endocrine | No underlying causes |
Environmental | No underlying causes |
Gastroenterologic | Ascites, Chronic liver disease, Cirrhosis , Intrahepatic blood shunting , Portal hypertension |
Genetic | No underlying causes |
Hematologic | No underlying causes |
Iatrogenic | Continuous ambulatory peritoneal dialysis |
Infectious Disease | Acinetobacter infections, Actinomyces infections , Aerococcus urinae , Aeromonas hydrophila, Arcanobacterium haemolyticum , Bacteroides fragilis, Bordetella bronchiseptica, Brucella infection, Candida infection, Citrobacter freundii, Coccidioides immitis , Cryptococcus neoformans , Defective ascite bactericidal activity, Enterococcus casseliflavus , Enterococcus faecalis , Enterococcus gallinarum , Enterococcus hirae , Escherichia coli , Gemella morbilorum , Haemophilus influenzae, Haemophilus parainfluenzae , Klebsiella pneumonia, Leclercia adecarboxylata , Leminorella grimontii , Listeria monocytogenes, Neisseria meningitidis , Ochrobactrum anthropi , Plesiomonas shigelloides, Proteus infections, Pseudomonas aeruginosa , Salmonella paratyphi a , Salmonella typhimurium , Staphylococcus aureus , Streptococcus pneumoniae, Streptococcus salivarius , Vibrio vulnificus, Viridans group streptococci Mycobacterium Tuberculosis |
Musculoskeletal/Orthopedic | No underlying causes |
Neurologic | No underlying causes |
Nutritional/Metabolic | Malnutrition |
Obstetric/Gynecologic | No underlying causes |
Oncologic | No underlying causes |
Ophthalmologic | No underlying causes |
Overdose/Toxicity | Cirrhosis |
Psychiatric | No underlying causes |
Pulmonary | No underlying causes |
Renal/Electrolyte | Nephrotic syndrome |
Rheumatology/Immunology/Allergy | No underlying causes |
Sexual | No underlying causes |
Trauma | No underlying causes |
Urologic | No underlying causes |
Miscellaneous | Malignant ascites |
Causes in Alphabetical Order
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