A cirrhotic patient with ascites develops fever and abdominal pain. A paracentesis shows 400 neutrophils/mm³. What is the diagnosis?

Answer and explanation

Correct answer: C. Spontaneous bacterial peritonitis

  1. Step 1: A neutrophil count of 250 or more per mm³ in the ascitic fluid confirms the diagnosis, which is treated with ceftriaxone and albumin.
Answer
Spontaneous bacterial peritonitis.
Why not the others: The other conditions are not defined by this finding.

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