Spontaneous bacterial peritonitis due to Listeria monocytogenes: importance of enrichment culture. Issue 9 (29th July 2010)

• Record Type: Journal Article
• Authors: Jayasinghe, Saroj; Connor, Martin; Donaldson, Shona; Austin, Hannah; Foster, Adele
• Is Part Of: Journal of clinical pathology. Volume 63:Issue 9(2010)
• Page Start: 835
• Page End: 836
• Publication Date: 2010-07-29
• Subjects: Listeria -- ascites -- peritonitis (spontaneous, bacterial); Pathology -- Periodicals; Pathology, Molecular -- Periodicals; 616.0705
• DOI: 10.1136/jcp.2009.074641
• Languages: English
• ISSNs: 0021-9746

Abstract

Abstract : A case of Listeria monocytogenes induced spontaneous bacterial peritonitis (SBP) is reported in a patient with primary biliary cirrhosis. It is an indolent illness and may not show a neutrophil reaction in peritoneal fluid. Enrichment broth was required to isolate L monocytogenes in the patient. This is not routinely used in the UK and therefore isolates may be missed. L monocytogenes remains sensitive to ampicillin, penicillin and gentamicin, but is resistant to cephalosporin antibiotics. The rising incidence of listeriosis in the population suggests that the incidence of SBP from L monocytogenes is likely to increase.