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Inflammation of peritoneum (a silk-like membrane lining the inner abdominal wall and covering abdominal organs). It is usually due to a bacterial or fungal infection. Without treatment, death may occur within a few days. Types: Spontaneous bacterial peritonitis: Develops as a complication of liver disease (e.g. cirrhosis) or of kidney disease. Secondary peritonitis: Results from rupture or perforation in abdomen, or as a complication of other medical conditions (e.g. appendicitis, diverticulitis). Tuberculosis peritonitis: Caused by Mycobacterium tuberculosis (TB). Chemical peritonitis (sterile peritonitis): Caused by leakage of sterile fluids that are irritants to the peritoneum (e.g. bile, blood, or barium as a contrast agent). Peritoneal abscess: Caused by an infected fluid collection. Symptoms: severe pain of abdomen swelling of abdomen tenderness of abdomen weight loss fever Causes perforation of the intestinal tract stomach ulcer, pancreatitis, (ruptured) appendicitis, pelvic inflammatory disease cirrhosis Complications: shock acute respiratory distress syndrome Risk factors include ascites and peritoneal dialysis. Diagnosis: examination blood tests imaging Treatment: antibiotics: Beta-lactams (penicillins), carbapenems (beta-lactamase-resistant beta-lactams), cephalosporins (semi-synthetic beta-lactams), and quinolones (ciprofloxacin). intravenous fluids pain medication surgery (The following procedures may be also needed.) nasogastric tube blood transfusion