BMJ Case Reports 2013; doi:10.1136/bcr-2012-008406

An unusual cause of spontaneous bacterial peritonitis due to Campylobacter fetus with alcoholic liver cirrhosis

  1. Hiroyoshi Iwata
  1. Department of General Internal Medicine and Infectious Diseases, Rakuwakai Otowa Hospital, Kyoto, Japan
  1. Correspondence to Dr Yoshiro Hadano, hatayoshiyoshi{at}


A 40-year-old man with severe alcoholic liver cirrhosis with a 2-day history of fatigue and abdominal pain was admitted. He reported eating sushi and sliced raw chicken a few days previously. His abdomen was distended, with shifting dullness. Based on the patient's history, physical examination and the results of abdominocentesis, he was diagnosed as having spontaneous bacterial peritonitis; blood and ascitic fluid cultures were positive for Campylobacter fetus. The patient was started on treatment with cefotaxime, which was switched after 1 week to ampicillin for an additional 3 weeks. The patient was successfully treated with the 4-week course of intravenous antibiotic therapy.

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