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November 1986

Polymicrobial Bacterascites: A Unique Entity in the Spectrum of Infected Ascitic Fluid

Author Affiliations

From the Department of Medicine, University of New Mexico School of Medicine, Albuquerque (Dr Runyon); Department of Medicine, Long Beach (Calif) Veterans Administration Medical Center (Dr Runyon); Department of Medicine, University of California, Irvine (Dr Hoefs); and the Department of Pathology, University of Southern California, Downey (Dr Canawati).

Arch Intern Med. 1986;146(11):2173-2175. doi:10.1001/archinte.1986.00360230099015

• A retrospective analysis of 1578 abdominal paracenteses revealed ten cases of polymicrobial bacterascites, ie, growth of multiple organisms in ascitic fluid with a neutrophil count less than 250 cells/cu mm. Six of the ten paracenteses that documented this condition were traumatic (bloody or producing feculent material). Clinical peritonitis developed in only one patient. No one died as a result of the infection. Polymicrobial bacterascites is rare (0.6% of paracenteses). It is frequently due to a traumatic paracentesis (bowel entry by the paracentesis needle), and is associated with low morbidity.

(Arch Intern Med 1986;146:2173-2175)

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