A 58-year-old man with chronic liver disease presents with fever, abdominal pain, and ascites. Paracentesis shows neutrophils 350 cells/µL. Best manag...

Question

A 58-year-old man with chronic liver disease presents with fever, abdominal pain, and ascites. Paracentesis shows neutrophils 350 cells/µL. Best management?

Accepted Answer

Start IV cefotaxime

Answer

No treatment; repeat tap in 48 h

Answer

Start metronidazole monotherapy

Answer

Start vancomycin

Answer

Oral co-amoxiclav

mrcp part 1 MCQ (SBA): Spontaneous bacterial peritonitis

A 58-year-old man with chronic liver disease presents with fever, abdominal pain, and ascites. Paracentesis shows neutrophils 350 cells/µL. Best management?