Infection of ascites due to Streptococcus pneumoniae in a cirrhotic patient

Abstract

Infectious complications are a major cause of mortality in patients with cirrhosis. From severe infections, infection ascites is one of the most fre-quent complications. It occurs in 8-30% of patients hospitalized with ascites. Contamination of ascites occur, usually by enteric bacteria, especially Escherichia coli, is either directly or indirectly through blood. Portal hyper-tension and liver failure create hemodynamic and immunological conditions that explain the occurrence of these infections. Adjuvant responsibility invasive procedures and gastrointestinal bleeding is likely.
The clinical setting is often very suggestive and the bacteriological examina-tion in case of doubt of ascites is the fundamental gesture. The immediate severity requiring prompt and appropriate treatment. We report a case of infection of ascites due to Streptococcus pneumoniae in a cirrhotic patient. The alcoholic and cirrhotic patients are particularly susceptible to infections with Streptococcus pneumoniae, the mortality is high in this area, support fast both in biologically and clinically has achieved good progress in our obser-vation. The authors through this clinical case recall the determination of risk group of infection appears to be a promising path for considering prophylaxis especially in the patient with a low level of proteins, fibronectin and C3 in ascites.