Protocolo diagnóstico del paciente con cirrosis y fiebre

Bacterial infections in cirrhotic patients are an important complication that carries a high mortality. Cirrhosis impairs innate and adaptative immunity that allows bacterial translocation and development of bacteremia. One of the most frequent and severe infection of the cirrhotic patient is the spontaneous bacterial peritonitis; followed by urinary tract infections, pneumonia and bacteremia. Once a bacterial infection is not the reponsible for the fever in a cirrhotic pacient, there should be considered for other causes, such hepatocellular carcinoma and acute alcoholic hepatitis.