21st April 2024

A 49-year-old man with known decompensated liver cirrhosis presents with fever and acute abdominal pain

A 49-year-old man with known decompensated liver cirrhosis presents with fever and acute abdominal pain. Blood tests demonstrate raised infection markers. An ascitic tap is performed and 20 ml of fluid is aspirated. He is started on IV antibiotics for spontaneous bacterial peritonitis (SBP).

Which of the following is NOT suggestive of a typical diagnosis of SBP?

Select the SINGLE most appropriate option from the list below. Select ONE option only.