Beckmann Taylor, Pavlatos Nicholas, Kalra Dinesh K
Department of Internal Medicine, University of Louisville School of Medicine, Louisville, KY 40202, USA.
Division of Cardiology, University of Louisville School of Medicine, Louisville, KY 40202, USA.
Biomedicines. 2024 Jun 22;12(7):1389. doi: 10.3390/biomedicines12071389.
Approximately 3% of all diagnosed cases of ascites are of cardiac etiology. Although more commonly associated with heart failure, pulmonary arterial hypertension is a known but rare cause of cardiac ascites, which has not been associated with spontaneous bacterial peritonitis. We present a case of a 75-year-old male with known pulmonary arterial hypertension and new-onset ascites, the fluid analysis of which was consistent with both cardiac ascites and spontaneous bacterial peritonitis. He was successfully managed with antibiotics, loop diuretics, and mineralocorticoid receptor antagonists.
所有确诊的腹水病例中，约3%由心脏病因引起。虽然腹水更常与心力衰竭相关，但肺动脉高压是心脏性腹水的一个已知但罕见的病因，且尚未发现其与自发性细菌性腹膜炎有关。我们报告一例75岁男性患者，已知患有肺动脉高压且出现新发腹水，其腹水分析结果与心脏性腹水和自发性细菌性腹膜炎均相符。他通过使用抗生素、袢利尿剂和盐皮质激素受体拮抗剂得到了成功治疗。
