Spontaneous bacterial peritonitis history and symptoms: Difference between revisions

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==Overview==
==Overview==
The main manifestations of [[SBP]] are acute abdominal [[abdominal pain|pain]], [[abdominal tenderness|tenderness]], [[fever]], chills, [[nausea]], [[vomiting]], [[abdominal tenderness|abdominal pain]]. Symptoms may be masked in the elderly and ~30% may be asymptomatic. Patients may also complain of worsening [[ascites]]. It is important to emphasize, though, that [[hepatic encephalopathy]] may be the ''only'' manifestation of SBP, especially in people with [[cirrhosis]] and [[ascites]]. Lastly, the clinical presentation of SBP is highly variable as this condition may manifest as a relatively insidious colonization – without signs and symptoms or it can rapidly develop as a septic syndrome.
The main manifestations of [[SBP]] are acute [[abdominal tenderness|abdominal pain]], abdominal [[abdominal pain|pain]], [[abdominal tenderness|tenderness]], [[fever]], chills, [[nausea]], [[vomiting]], [[abdominal tenderness|abdominal pain]]. Symptoms may be masked in the elderly and ~30% may be asymptomatic. Patients may also complain of worsening [[ascites]]. It is important to emphasize, though, that [[hepatic encephalopathy]] may be the ''only'' manifestation of SBP, especially in people with [[cirrhosis]] and [[ascites]]. Lastly, the clinical presentation of SBP is highly variable as this condition may manifest as a relatively insidious colonization – without signs and symptoms or it can rapidly develop as a septic syndrome.


==History==
==History==

Revision as of 15:52, 14 February 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2] Shivani Chaparala M.B.B.S [3]

Overview

The main manifestations of SBP are acute abdominal pain, abdominal pain, tenderness, fever, chills, nausea, vomiting, abdominal pain. Symptoms may be masked in the elderly and ~30% may be asymptomatic. Patients may also complain of worsening ascites. It is important to emphasize, though, that hepatic encephalopathy may be the only manifestation of SBP, especially in people with cirrhosis and ascites. Lastly, the clinical presentation of SBP is highly variable as this condition may manifest as a relatively insidious colonization – without signs and symptoms or it can rapidly develop as a septic syndrome.

History

A directed history should be obtained to ascertain the precipitant of this condition, detailed history has to be obtained regarding:

  • Previous episodes of SBP.
  • Onset of symptoms and their progression.
  • Presence of B-symptoms such as night-sweats, malaise, weight loss.
  • Immune-deficiencies like HIV.
  • Family history of liver disease.

Common Symptoms

Some of the common symptoms of SBP include:[1]

  • Worsening of pre-existing ascites and progressive encephalopathy in a patient with cirrhotic ascites
  • Diffuse, continuous abdominal pain may be present and few patients may be asymptomatic.

Less common symptoms of SBP

  • Low urine output
  • Thirst
  • Fatigue
  • Chills
  • Dizziness or weakness


References

  1. Such J, Runyon BA (1998). "Spontaneous bacterial peritonitis". Clin Infect Dis. 27 (4): 669–74, quiz 675-6. PMID 9798013.
  2. "Peritonitis - spontaneous: MedlinePlus Medical Encyclopedia".


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