Spontaneous bacterial peritonitis natural history

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]

Natural History , Complications and Prognosis

Spontaneous bacterial peritonitis presents as a complication of ascites which can be due to cirrhosis , heart failure or renal failure. Untreated disease leads to complications and has poor prognosis.

Complications

• Sepsis
• Encephalopathy
• Liver failure
• Renal failure
• Tense ascites
• Coma
• Death

Prognosis

Renal dysfunction is an important prognostic indicator followed by the Model for End-Stage Liver Disease (MELD) score. With increase of MELD score prognosis becomes worse.