10 February 2022
: Case report 
Case Report of Cardiorenal Syndrome with Ascites and Listeria monocytogenes Peritonitis: The Role of Large-Volume Paracentesis and Albumin Replacement
Challenging differential diagnosis, Unusual or unexpected effect of treatment, Rare disease
Minas Karagiannis1BEF*, Panagiotis Giannakopoulos1BF, Aggeliki Sardeli1D, Ourania Tsotsorou1D, Dimitra Bacharaki1D, Demetrios V. Vlahakos1DEFDOI: 10.12659/AJCR.934423
Am J Case Rep 2022; 23:e934423
Figure 1. Interventions associated with favorable outcome in a woman with cardiorenal syndrome, ascites, and spontaneous bacterial peritonitis due to Listeria monocytogenes. A) Hemodialysis to control uremia, normalize volume, and maintain normal electrolyte balance. B) Albumin infusion along with proper antibiotic therapy to reduce the severity of renal impairment and mortality and improve intravascular colloid osmotic pressure. C) Large-volume paracentesis to diagnose the causative agent and to decrease the intraabdominal pressure and possibly the toxic burden.