Shaked Y, Samra Y
Rusinow Department of Internal Medicine C, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Cardiology. 1988;75(5):372-4. doi: 10.1159/000174401.
Two patients with fatal spontaneous pneumococcal peritonitis associated with ascites due to severe heart failure are reported. Remarkable clinical features included gradual onset and absence of fever and signs of peritonitis. Only 1 case of spontaneous bacterial peritonitis associated with cardiac ascites was described previously and was caused by enterococcus.
报告了2例因严重心力衰竭伴腹水而发生致命性自发性肺炎球菌性腹膜炎的患者。显著的临床特征包括起病隐匿、无发热及腹膜炎体征。此前仅描述过1例与心源性腹水相关的自发性细菌性腹膜炎病例,由肠球菌引起。