A 47-year-old male HIV (+) with 44 CD4+ lymphocytes per mm3, thrombopenia gravis and liver cirrhosis with positive serology for hepatitis C virus (HCV) who was admitted due to high fever, rectal bleeding.
She had a history of allergy to corticosteroids and had suffered an episode of oral candidiasis and pneumonia caused bycystis carinii.
She underwent prophylaxis with intravenous pentamidine.
With the diagnosis of probable spontaneous bacterial peritonitis three hemocultives were extracted and treatment with ceftriaxone was initiated.
The clinical situation progressively deteriorated.
He developed hepatic encephalopathy and upper gastrointestinal bleeding and died 72 hours after admission.
Postmortem examination showed growth of L.
