الفهرس | Only 14 pages are availabe for public view |
Abstract Liver cirrhosis has a high morbidity and mortality due to its related complications. Cirrhotic patients are at high risk for bacterial infections due to changes in the gut-liver axis that result in pathologic bacterial translocation and endotoxin release into the systemic circulation. Spontaneous bacterial peritonitis is a serious common form of infection in cirrhotic ascitic patients. Its prevalence among the hospitalized group of those patients varies from 10%-30% and mortality ranges from 10% to 50%. The disease burden of SBP in liver cirrhosis patients greatly affect and increase morbidity and mortality in these patients. Early detection and prober management of SBP help to decrease the mortality. Spontaneous bacterial peritonitis is diagnosed if (PMNs)/mm3 ≥ 250 are present in the ascitic fluid, regardless of the isolation of bacteria from the fluid. Spontaneous fungal peritonitis is a rare but severe complication of liver cirrhosis and associated with worse prognosis and higher mortality than SBP Spontaneous fungal peritonitis is diagnosed if (PMNs)/mm3 ≥ 250 are present in the ascitic fluid and the ascites is fungalculture-positive regardless of bacterial colonization. The aim of this study is assessment of occurrence of the fungal infection of the ascitic fluid in Egyptian cirrhotic patients with Spontaneous Peritonitis. |