Sepsis and spontaneous bacterial peritonitis in Thailand

Abstract

In June, 2007, a 66-year-old man (case 1), an alcohol misuser with alcoholic liver cirrhosis who habitually ate raw pork, was referred to Uttaradit Hospital, northern Thailand. He had a fever and massive ascites. His leucocyte count was 4·4×10⁹/L, and total bilirubin and albumin concentrations were 23·7 mg/L, and 26 g/L, respectively. Polymorphonuclear leucocyte count of ascitic fl uid was 4·1×10⁸/L and culture was positive despite a negative blood culture. This patient was diagnosed with spontaneous bacterial peritonitis,