Spontaneous Fungal Peritonitis in Egyptian Patients with Cirrhotic Ascites | ||||
| Egyptian Journal of Medical Microbiology | ||||
| Article 11, Volume 28, Issue 1, January 2019, Page 81-86 PDF (245.17 K) | ||||
| Document Type: New and original researches in the field of Microbiology. | ||||
| DOI: 10.21608/ejmm.2019.282429 | ||||
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| Authors | ||||
Noha M. Gohar  1; Reham S. Abu Sarei2; Hanan A. Marzouk2; Mohamed M. El-Beshlawy2
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| 1Department of Medical Microbiology and Immunology, Faculty of Medicine, Cairo University, Cairo, Egypt | ||||
| 2Department of Endemic Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Spontaneous fungal peritonitis in liver cirrhotic patients is considered a serious complication with a grave prognosis. The available data describing this entity are still deficient, however they all stress that early diagnosis and proper management is essential to decrease mortality. Objectives: This study was conducted to assess the incidence, characteristics and predisposing factors of fungal peritonitis in patients with cirrhotic ascites. Methodology: Ascitic fluid samples were collected from 141 Egyptian patients with cirrhotic ascites. Ascetic fluid specimens were subjected to direct microscopic examination, bacterial and fungal culture. Results: Sixty one patients were diagnosed to have spontaneous bacterial peritonitis (SBP), eight of them were culture positive SBP and E. coli was the commonest organism to be isolated. A single case of spontaneous fungal peritonitis (SFP) was detected caused by Candida albicans. Child-Pugh C, high MELD score and high bilirubin level might be among the risk factors of development of SFP. | ||||
| Keywords | ||||
| Spontaneous fungal peritonitis; spontaneous bacterial peritonitis, ascites, liver cirrhosis | ||||
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