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

  • Furqan Ahmed*
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Journal of Clinical and Translational Hepatology   2017;5(2):184-184

doi: 10.14218/JCTH.2017.00026

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.24

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Conflict of interest

The authors have no conflict of interests related to this publication.

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 View Article
  2. Velkey B, Vitális E, Vitális Z. Spontaneous bacterial peritonitis. Orv Hetil 2017;158:50-57 View Article
  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
  • Journal of Clinical and Translational Hepatology
  • pISSN 2225-0719
  • eISSN 2310-8819
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Comment on ‘Ascitic Fluid Analysis in the Differential Diagnosis of Ascites: Focus on Cirrhotic Ascites’

Furqan Ahmed
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