Journal of Clinical and Translational Hepatology

Journal of Clinical and Translational Hepatology

Friday, 08 / 18 / 2017

Articles

Comment on ‘Ascitic Fluid Analysis in the Differential Diagnosis of Ascites: Focus on Cirrhotic Ascites’

LETTERS TO THE EDITOR

Comment on ‘Ascitic Fluid Analysis in the Differential Diagnosis of Ascites: Focus on Cirrhotic Ascites’

Furqan Ahmed*

*Correspondence to: Furqan Ahmed, Department of Internal Medicine, Dow Medical College, Dow University of Health Sciences, Mission Rd, Karachi 74200, Pakistan. Tel: +92-3142027901, E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it.

Journal of Clinical and Translational Hepatology 2017;5(2):184-184DOI: 10.14218/JCTH.2017.00026
Published online: June 15, 2017

Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan

First, I would like to congratulate the authors, Huang LL, Xia HH and Zhu SL, on the overall great work done in preparing the review article ‘Ascitic Fluid Analysis in the Differential Diagnosis of Ascites: Focus on Cirrhotic Ascites’.1 However, there seems to be an error in the description of diagnosis of spontaneous bacterial peritonitis (SBP). The authors state “SBP is defined by the presence of neutrophil cells greater than or equal to 250/mL or a positive bacterial culture in the ascitic fluid without evidence of an abdominal source.” The issue here is the fact that the authors make the presence of neutrophil cells greater than or equal to 250/mL for diagnoses of SBP an option (by using the conjunction term ‘or’) and not a condition, whereas it is proven by evidence in the literature that it is a prerequisite.2–4

References

  1. Huang LL, Xia HH, Zhu SL. Ascitic fluid analysis in the differential diagnosis of ascites: focus on cirrhotic ascites. J Clin Transl Hepatol 2014;2:58-64. doi: 2010.14218/JCTH.2013.00010
  2. Velkey B, Vitális E, Vitális Z. Spontaneous bacterial peritonitis. Orv Hetil 2017;158:50-57. doi: 2010.1556/650.2017.30637
  3. Runyon BA. Management of adult patients with ascites due to cirrhosis: update 2012. Available from: https://www.aasld.org/sites/default/files/guideline_documents/141020_Guideline_Ascites_4UFb_2015.pdf
  4. Skladaný Ľ, Kasová S, Purgelová A, Bystrianska N, Adamcová-Selčanová S. Spontaneous bacterial peritonitis. Klin Mikrobiol Infekc Lek 2016;22:136-140.

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