Spontaneous Bacterial Peritonitis Lab Report
Spontaneous bacterial peritonitis: an acute bacterial infection of ascites fluid. Although a bacterial infection the infecting agent is not easily identified. Spontaneous bacterial peritonitis is commonly seen in patients receiving peritoneal dialysis due to contamination of dialysate.
Signs and symptoms: a wide range of symptoms including diarrhea, worsening encephalopathy, ascites that do not improve following administration of diuretic medication, worsening or new renal failure and ileus
Etiology: generally caused by aerobic gram-negative organisms such as Escherichia Coli or aerobic gram-positive organisms such as streptococcal species. Patients with cirrhoisis who are in a decompensated state are at high risk of developing spontaneous …show more content…
Factors that affect such translocation include alteration of gut microbiota, increased gut permeability, and impaired immunity.
Test: A peritoneal fluid analysis is performed in order to examine the ascites fluid for SBP. After performing the analysis the fluid will be sent to the lab to obtain the cell count, differential and cultured. If the ascetic fluid neutrophil count has more than 500 cells/ul the patient most likely has spontaneous bacterial.
Treatment: empiric antibiotic therapy is the most common treatment however albumin decreases the frequency of hepatorenal syndrome.
Prognosis: generally resolved with antibiotic therapy. Survival rate is fare however there is a great chance that patient will have recurrence at 1 year.
Inflammatory bowel disease: an idiopathic disease which is caused by dysregulated immune response to host intestinal microflora. Ulcerative colitis is a IBD that affects the colon. Crohn disease is an IBD that affect any segment of the gastrointestinal tract.
Signs and symptoms: Diarrhea, which may present with blood in stool. Constipation limited to the rectum. Bowel movement abnormalities with te presence of pain or rectal bleeding. Abdominal cramping and pain is commonly seen in the lower
Signs and symptoms: a wide range of symptoms including diarrhea, worsening encephalopathy, ascites that do not improve following administration of diuretic medication, worsening or new renal failure and ileus
Etiology: generally caused by aerobic gram-negative organisms such as Escherichia Coli or aerobic gram-positive organisms such as streptococcal species. Patients with cirrhoisis who are in a decompensated state are at high risk of developing spontaneous …show more content…
Factors that affect such translocation include alteration of gut microbiota, increased gut permeability, and impaired immunity.
Test: A peritoneal fluid analysis is performed in order to examine the ascites fluid for SBP. After performing the analysis the fluid will be sent to the lab to obtain the cell count, differential and cultured. If the ascetic fluid neutrophil count has more than 500 cells/ul the patient most likely has spontaneous bacterial.
Treatment: empiric antibiotic therapy is the most common treatment however albumin decreases the frequency of hepatorenal syndrome.
Prognosis: generally resolved with antibiotic therapy. Survival rate is fare however there is a great chance that patient will have recurrence at 1 year.
Inflammatory bowel disease: an idiopathic disease which is caused by dysregulated immune response to host intestinal microflora. Ulcerative colitis is a IBD that affects the colon. Crohn disease is an IBD that affect any segment of the gastrointestinal tract.
Signs and symptoms: Diarrhea, which may present with blood in stool. Constipation limited to the rectum. Bowel movement abnormalities with te presence of pain or rectal bleeding. Abdominal cramping and pain is commonly seen in the lower