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Target Concepts:
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Query: UMLS:C0341503 (
bacterial peritonitis
)
1,303
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
An adult female Papio hamadryas being used in reproductive studies was found moribund unexpectedly. Palpation revealed
acute abdominal pain
and a pelvic mass. A tentative diagnosis of endometriosis and shock was made. Necropsy and histological examination confirmed the diagnosis of endometriosis and identified an associated
bacterial peritonitis
.
...
PMID:Endometriosis with bacterial peritonitis in a baboon. 651 12
Acute abdominal pain
remains a diagnostic challenge even today. Although computer-assisted diagnostic aids have been designed, these are not yet well established in clinical practice. Thus when facing this problem most physicians rely on experience and sound knowledge of the broad etiological spectrum of
acute abdominal pain
. In the first section of this presentation some practical issues are discussed with regard to basic diagnostic steps (history, clinical findings, laboratory tests, plain abdominal film, abdominal ultrasound), as seen from the internist's point of view. In the second part interdisciplinary management of complicated peptic ulcer disease, acute pancreatitis, acute diverticulitis, right lower quadrant pain, and spontaneous
bacterial peritonitis
are briefly outlined.
...
PMID:[Acute abdominal pain--internist's viewpoint]. 908 27
A 53 year old Italian with aethylic cirrhosis of the liver was hospitalized repeatedly over the last years because of recurrent ascites. During the last episode with fever,
acute abdominal pain
, exsudative ascites and elevated CRP spontaneous
bacterial peritonitis
was suspected and the patient was treated with antibiotics. Although the therapy was carried out correctly it had no effects on the symptoms. Finally the examination of ascites and matutinal sputum revealed mycobacterium tuberculosis and pulmonary and peritoneal tuberculosis was diagnosed. Tuberculostatic therapy was initiated with ethambutol, rifampicin and isoniacid adapted to impaired hepatic and renal function.
...
PMID:[Ascites]. 1059 47
Endemic to the southwestern parts of the United States, coccidioidomycosis, also known as "Valley Fever," is a common fungal infection that primarily affects the lungs in both acute and chronic forms. Disseminated coccidioidomycosis is the most severe but very uncommon and usually occurs in immunocompromised individuals. It can affect the central nervous system, bones, joints, skin, and, very rarely, the abdomen. This is the first case report of a patient with coccidioidal dissemination to the peritoneum presenting as eosinophilic ascites (EA). A 27-year-old male presented with
acute abdominal pain
and distention from ascites. He had eosinophilia of 11.1% with negative testing for stool studies, HIV, and tuberculosis infection. Ascitic fluid exam was remarkable for low serum-ascites albumin gradient (SAAG), PMN count >250/mm(3), and eosinophils of 62%. Abdominal imaging showed thickened small bowel and endoscopic testing negative for gastric and small bowel biopsies. He was treated empirically for spontaneous
bacterial peritonitis
, but no definitive diagnosis could be made until coccidioidal serology returned positive. We noted complete resolution of symptoms with oral fluconazole during outpatient follow-up. Disseminated coccidioidomycosis can present in an atypical fashion and may manifest as peritonitis with low SAAG EA. The finding of EA in an endemic area should raise the suspicion of coccidioidal dissemination.
...
PMID:Coccidioidomycosis Masquerading as Eosinophilic Ascites. 2626 62