Most cases of bacterial peritonitis occur:
- When fluid accumulates in the peritoneal cavity (ascites) because of chronic liver disease.
- In kidney failure patients undergoing peritoneal dialysis. In these patients, the cause of spontaneous peritonitis is infection in the blood that spreads to the peritoneal fluid, usually from a contaminated peritoneal dialysis catheter.
Risk factors for liver disease include alcoholic cirrhosis and other diseases that lead to cirrhosis, such as viral hepatitis. Patients with kidney failure can develop nephrotic syndrome, which leads to ascites and can then become infected.
Spontaneous peritonitis is rare in children.
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