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  • Title: [Spontaneous bacterial peritonitis: studies of the incidence and clinical and laboratory chemical parameters].
    Author: Höring E, Kubin S, von Gaisberg U.
    Journal: Z Gastroenterol; 1990 Jul; 28(7):339-42. PubMed ID: 2238763.
    Abstract:
    In a prospective study on 151 patients with cirrhosis of the liver we found 9 episodes of spontaneous bacterial peritonitis (SBP) in 8 patients (5.3% of the whole population or 18% of the ascitic patients). There was a clear difference in WBC-count, polymorphonuclear cell count, LDH and lactate in the ascitic fluid between SBP and controls. Clinical symptoms were discrete. 6 of 8 patients had an advanced form of cirrhosis belonging to Child-grade C. Half of patients died. The clinical situation of the 4 survivors improved after antibiotic treatment. Ascitic analysis of WBC and PMC-count in combination with LDH and lactate may reveal SBP as the reason of fever or clinical impairment in cirrhotics.
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