Spontaneous Bacterial Peritonitis Because of Actinomyces .
Matthew EverettAnusha KherajJordan RedfieldNazneen S AhmedAneel KumarJiten P KothadiaPublished in: ACG case reports journal (2024)
Actinomycosis is a rare chronic granulomatous disease that manifests with nonspecific symptoms of abdominal pain, anorexia, and weight loss. The disparity in the presentation of this condition presents a tremendous diagnostic challenge. There are few reports of Actinomyces species causing spontaneous bacterial peritonitis without previous localized masses or abscesses have been published. We provide a case of spontaneous bacterial peritonitis secondary to Actinomyces species in a 46-year-old woman with uterine fibroids and a lack of preceding abscess. Although rare, spontaneous bacterial peritonitis because of Actinomyces should be considered in differential in female patients without pre-existing liver disease presenting with spontaneous bacterial peritonitis.
Keyphrases
- weight loss
- end stage renal disease
- abdominal pain
- newly diagnosed
- ejection fraction
- chronic kidney disease
- randomized controlled trial
- magnetic resonance imaging
- systemic sclerosis
- peritoneal dialysis
- pregnant women
- prognostic factors
- rheumatoid arthritis
- interstitial lung disease
- depressive symptoms
- patient reported outcomes
- gastric bypass
- fine needle aspiration