Background: Ceftriaxone or cefotaxime has been the drug of choice to treat spontaneous bacterial peritonitis (SBP) for many years, but little is known about microbiology, resistance rate to cephalosporines, and clinical outcomes over the last few decades. Our study aimed to describe the clinical and microbiological characteristics of culture-positive SBP at University of Kentucky Hospital. [...]

Background: Spontaneous Bacterial Peritonitis (SBP) is associated with high mortality.  A recent article[1] showed that, in the setting of SBP, delayed paracentesis was associated with increased mortality.  Because of the clinical ramifications of this association, we attempted to recreate this finding using our local patient population. Methods: Similar to the study that prompted this inquiry, [...]

Case Presentation: A 26 year old female with a history of morbid obesity status post lap band procedure presented with fevers, bloating, nausea and vomiting for 1 month. CT Abd/Pelvis w/o contrast demonstrated marked ascites intra-abdominally and in the pelvic cavity. Chlamydia/Gonorrhea assays were performed and returned negative. She then had a paracentesis with fluid [...]

Case Presentation: A 61-year-old man with decompensated non-alcoholic steatohepatitis cirrhosis and end-stage renal disease (ESRD) presented with sudden-onset hypotension. He described 3 days of fatigue, lethargy, and loss of appetite with a history of breeding chickens. He was afebrile, blood pressure was 70/40, and abdomen was distended without tenderness to palpation. Initial diagnostic paracentesis showed [...]