{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:20:05Z","timestamp":1764253205426,"version":"3.46.0"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T00:00:00Z","timestamp":1740528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    While\n                    <jats:styled-content style=\"fixed-case\">\n                      <jats:italic>Escherichia coli<\/jats:italic>\n                    <\/jats:styled-content>\n                    ,\n                    <jats:italic>Streptococcus<\/jats:italic>\n                    , and\n                    <jats:italic>Klebsiella<\/jats:italic>\n                    species traditionally account for most cases of spontaneous bacterial peritonitis (SBP), atypical pathogens can be found.\n                    <jats:italic>Salmonella<\/jats:italic>\n                    , typically known for causing gastroenteritis, rarely manifests as SBP, while\n                    <jats:italic>Brucella<\/jats:italic>\n                    , a zoonotic pathogen, presents a unique challenge in the context of peritoneal infection. In this report, we present two cases of SBP caused by these atypical organisms. The first case involved a 58\u2010year\u2010old female with a history of hepatitis C\u2010related chronic liver disease and cryoglobulinemic vasculitis, who presented with SBP and hepatorenal syndrome\u2010associated acute kidney injury.\n                    <jats:italic>Salmonella<\/jats:italic>\n                    was identified in both ascitic fluid and blood cultures, but despite appropriate treatment, the patient experienced a fatal deterioration. The second case features a 52\u2010year\u2010old male with type 2 diabetes mellitus and newly diagnosed schistosomiasis, who presented with findings of decompensated liver cirrhosis and SBP.\n                    <jats:italic>Brucella<\/jats:italic>\n                    was isolated from ascitic fluid cultures, and the patient responded well to treatment. We aim to highlight the need for early recognition of atypical causes of SBP to improve management and outcomes.\n                  <\/jats:p>","DOI":"10.1002\/ccr3.9647","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T05:21:17Z","timestamp":1741756877000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous Bacterial Peritonitis Beyond the Usual Suspects: Case Series of\n                    <i>Salmonella<\/i>\n                    and\n                    <i>Brucella<\/i>\n                    With Comprehensive Literature Review"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9549-8352","authenticated-orcid":false,"given":"Hussam","family":"Almasri","sequence":"first","affiliation":[{"name":"Internal Medicine Department University of North Dakota  Fargo North Dakota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8528-0272","authenticated-orcid":false,"given":"Elhassan","family":"Mahmoud","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hamad Medical Corporation  Doha Qatar"},{"name":"College of Medicine, QU Health Qatar University  Doha Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4019-1185","authenticated-orcid":false,"given":"Ashraf I.","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hamad Medical Corporation  Doha Qatar"},{"name":"College of Medicine, QU Health Qatar University  Doha Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamad A.","family":"Alkorbi","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hamad Medical Corporation  Doha Qatar"},{"name":"College of Medicine, QU Health Qatar University  Doha Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aiman","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hamad Medical Corporation  Doha Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahem","family":"Abbarh","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hamad Medical Corporation  Doha Qatar"},{"name":"Department of Internal Medicine MedStar Health  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bisher","family":"Sawaf","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Hamad Medical Corporation  Doha Qatar"},{"name":"Department of Internal Medicine University of Toledo Medical Center  Toledo Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,26]]},"reference":[{"issue":"4","key":"e_1_2_12_2_1","first-page":"204","article-title":"Spontaneous Bacterial Peritonitis: A Review of Treatment Options","volume":"34","author":"Alaniz C.","year":"2009","journal-title":"P & T: A Peer\u2010Reviewed Journal for Formulary Management"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2006.056168"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/apt.13172"},{"key":"e_1_2_12_5_1","unstructured":"J.McHutchisonandB. J. W. S.Runyon \u201cPhiladelphia. Spontaneous Bacterial Peritonitis. Gastrointestinal and Hepatic Infections \u201d455. (1995)."},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2022-249550"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra050570"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2015-209387"},{"issue":"1","key":"e_1_2_12_9_1","article-title":"An Unusual Instigator of Spontaneous Bacterial Peritonitis: \n                     Salmonella typhimurium","volume":"16","author":"Mahashabde M. L.","year":"2024","journal-title":"Cureus"},{"issue":"6","key":"e_1_2_12_10_1","article-title":"Spontaneous Bacterial Peritonitis Secondary to Salmonella spp. in a Patient With Decompensated Liver Cirrhosis","volume":"13","author":"El Jurdi K.","year":"2021","journal-title":"Cureus"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/gastro\/gou018"},{"issue":"12","key":"e_1_2_12_12_1","first-page":"550","article-title":"Spontaneous Infection of Ascitic Fluid Due to \n                     Salmonella typhimurium\n                   in a Cirrhotic Patient Undergoing Selective Intestinal Decontamination With Norfloxacin","volume":"32","author":"Lecleire S.","year":"2003","journal-title":"Presse M\u00e9dicale"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12072-008-9087-9"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00042737-200105000-00020"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2013-008629"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/0036554021000027006"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.29333\/ejgm\/82530"},{"issue":"1","key":"e_1_2_12_18_1","first-page":"38","article-title":"Spontaneous Bacterial Peritonitis Due to \n                     Brucella melitensis\n                   in a Cirrhotic Patient","volume":"16","author":"Kantar\u00e7eken B.","year":"2005","journal-title":"Turkish Journal of Gastroenterology: The Official Journal of Turkish Society of Gastroenterology"},{"issue":"2","key":"e_1_2_12_19_1","first-page":"145","article-title":"Spontaneous Bacterial Peritonitis Due to Brucella Infection","volume":"14","author":"Gursoy S.","year":"2003","journal-title":"Turkish Journal of Gastroenterology"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.9647","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:17:33Z","timestamp":1764253053000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.9647"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,26]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1002\/ccr3.9647"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.9647","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"type":"print","value":"2050-0904"},{"type":"electronic","value":"2050-0904"}],"subject":[],"published":{"date-parts":[[2025,2,26]]},"assertion":[{"value":"2024-08-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e9647"}}