Spontaneous Bacterial Peritonitis Beyond the Usual Suspects: Case Series of <i>Salmonella</i> and <i>Brucella</i> With Comprehensive Literature Review

<p dir="ltr">While <i>Escherichia coli</i>, <i>Streptococcus</i>, and <i>Klebsiella</i> species traditionally account for most cases of spontaneous bacterial peritonitis (SBP), atypical pathogens can be found. <i>Salmonella</i>, typical...

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Main Author: Hussam Almasri (9376817) (author)
Other Authors: Elhassan Mahmoud (22045166) (author), Ashraf I. Ahmed (22045163) (author), Hamad A. Alkorbi (19556500) (author), Aiman Ahmed (22391986) (author), Shahem Abbarh (17945564) (author), Bisher Sawaf (4972819) (author)
Published: 2025
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author Hussam Almasri (9376817)
author2 Elhassan Mahmoud (22045166)
Ashraf I. Ahmed (22045163)
Hamad A. Alkorbi (19556500)
Aiman Ahmed (22391986)
Shahem Abbarh (17945564)
Bisher Sawaf (4972819)
author2_role author
author
author
author
author
author
author_facet Hussam Almasri (9376817)
Elhassan Mahmoud (22045166)
Ashraf I. Ahmed (22045163)
Hamad A. Alkorbi (19556500)
Aiman Ahmed (22391986)
Shahem Abbarh (17945564)
Bisher Sawaf (4972819)
author_role author
dc.creator.none.fl_str_mv Hussam Almasri (9376817)
Elhassan Mahmoud (22045166)
Ashraf I. Ahmed (22045163)
Hamad A. Alkorbi (19556500)
Aiman Ahmed (22391986)
Shahem Abbarh (17945564)
Bisher Sawaf (4972819)
dc.date.none.fl_str_mv 2025-02-26T09:00:00Z
dc.identifier.none.fl_str_mv 10.1002/ccr3.9647
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Spontaneous_Bacterial_Peritonitis_Beyond_the_Usual_Suspects_Case_Series_of_i_Salmonella_i_and_i_Brucella_i_With_Comprehensive_Literature_Review/30305971
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Medical microbiology
atypical pathogens
brucella
liver cirrhosis
salmonella
spontaneous bacterial peritonitis (SBP)
dc.title.none.fl_str_mv Spontaneous Bacterial Peritonitis Beyond the Usual Suspects: Case Series of <i>Salmonella</i> and <i>Brucella</i> With Comprehensive Literature Review
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">While <i>Escherichia coli</i>, <i>Streptococcus</i>, and <i>Klebsiella</i> species traditionally account for most cases of spontaneous bacterial peritonitis (SBP), atypical pathogens can be found. <i>Salmonella</i>, typically known for causing gastroenteritis, rarely manifests as SBP, while <i>Brucella</i>, a zoonotic pathogen, presents a unique challenge in the context of peritoneal infection. In this report, we present two cases of SBP caused by these atypical organisms. The first case involved a 58‐year‐old female with a history of hepatitis C‐related chronic liver disease and cryoglobulinemic vasculitis, who presented with SBP and hepatorenal syndrome‐associated acute kidney injury. <i>Salmonella</i> was identified in both ascitic fluid and blood cultures, but despite appropriate treatment, the patient experienced a fatal deterioration. The second case features a 52‐year‐old male with type 2 diabetes mellitus and newly diagnosed schistosomiasis, who presented with findings of decompensated liver cirrhosis and SBP. <i>Brucella</i> was isolated from ascitic fluid cultures, and the patient responded well to treatment. We aim to highlight the need for early recognition of atypical causes of SBP to improve management and outcomes.</p><h2>Other Information</h2><p dir="ltr">Published in: Clinical Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/ccr3.9647" target="_blank">https://dx.doi.org/10.1002/ccr3.9647</a></p>
eu_rights_str_mv openAccess
id Manara2_f5349209e9207ec3c438aafe486d2fb5
identifier_str_mv 10.1002/ccr3.9647
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/30305971
publishDate 2025
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rights_invalid_str_mv CC BY 4.0
spelling Spontaneous Bacterial Peritonitis Beyond the Usual Suspects: Case Series of <i>Salmonella</i> and <i>Brucella</i> With Comprehensive Literature ReviewHussam Almasri (9376817)Elhassan Mahmoud (22045166)Ashraf I. Ahmed (22045163)Hamad A. Alkorbi (19556500)Aiman Ahmed (22391986)Shahem Abbarh (17945564)Bisher Sawaf (4972819)Biomedical and clinical sciencesClinical sciencesMedical microbiologyatypical pathogensbrucellaliver cirrhosissalmonellaspontaneous bacterial peritonitis (SBP)<p dir="ltr">While <i>Escherichia coli</i>, <i>Streptococcus</i>, and <i>Klebsiella</i> species traditionally account for most cases of spontaneous bacterial peritonitis (SBP), atypical pathogens can be found. <i>Salmonella</i>, typically known for causing gastroenteritis, rarely manifests as SBP, while <i>Brucella</i>, a zoonotic pathogen, presents a unique challenge in the context of peritoneal infection. In this report, we present two cases of SBP caused by these atypical organisms. The first case involved a 58‐year‐old female with a history of hepatitis C‐related chronic liver disease and cryoglobulinemic vasculitis, who presented with SBP and hepatorenal syndrome‐associated acute kidney injury. <i>Salmonella</i> was identified in both ascitic fluid and blood cultures, but despite appropriate treatment, the patient experienced a fatal deterioration. The second case features a 52‐year‐old male with type 2 diabetes mellitus and newly diagnosed schistosomiasis, who presented with findings of decompensated liver cirrhosis and SBP. <i>Brucella</i> was isolated from ascitic fluid cultures, and the patient responded well to treatment. We aim to highlight the need for early recognition of atypical causes of SBP to improve management and outcomes.</p><h2>Other Information</h2><p dir="ltr">Published in: Clinical Case Reports<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/ccr3.9647" target="_blank">https://dx.doi.org/10.1002/ccr3.9647</a></p>2025-02-26T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1002/ccr3.9647https://figshare.com/articles/journal_contribution/Spontaneous_Bacterial_Peritonitis_Beyond_the_Usual_Suspects_Case_Series_of_i_Salmonella_i_and_i_Brucella_i_With_Comprehensive_Literature_Review/30305971CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/303059712025-02-26T09:00:00Z
spellingShingle Spontaneous Bacterial Peritonitis Beyond the Usual Suspects: Case Series of <i>Salmonella</i> and <i>Brucella</i> With Comprehensive Literature Review
Hussam Almasri (9376817)
Biomedical and clinical sciences
Clinical sciences
Medical microbiology
atypical pathogens
brucella
liver cirrhosis
salmonella
spontaneous bacterial peritonitis (SBP)
status_str publishedVersion
title Spontaneous Bacterial Peritonitis Beyond the Usual Suspects: Case Series of <i>Salmonella</i> and <i>Brucella</i> With Comprehensive Literature Review
title_full Spontaneous Bacterial Peritonitis Beyond the Usual Suspects: Case Series of <i>Salmonella</i> and <i>Brucella</i> With Comprehensive Literature Review
title_fullStr Spontaneous Bacterial Peritonitis Beyond the Usual Suspects: Case Series of <i>Salmonella</i> and <i>Brucella</i> With Comprehensive Literature Review
title_full_unstemmed Spontaneous Bacterial Peritonitis Beyond the Usual Suspects: Case Series of <i>Salmonella</i> and <i>Brucella</i> With Comprehensive Literature Review
title_short Spontaneous Bacterial Peritonitis Beyond the Usual Suspects: Case Series of <i>Salmonella</i> and <i>Brucella</i> With Comprehensive Literature Review
title_sort Spontaneous Bacterial Peritonitis Beyond the Usual Suspects: Case Series of <i>Salmonella</i> and <i>Brucella</i> With Comprehensive Literature Review
topic Biomedical and clinical sciences
Clinical sciences
Medical microbiology
atypical pathogens
brucella
liver cirrhosis
salmonella
spontaneous bacterial peritonitis (SBP)