EASL Campus

A patient with Child-Turcotte-Pugh B9 cirrhosis is admitted with clinical and radiological evidence of pneumonia (community-acquired). Spontaneous bacterial peritonitis (SBP) has been ruled-out by diagnostic paracentesis. Laboratory testing reveals an increase in serum creatinine from a stable baseline of 0.9 mg/dL (79 µmol/L) to 1.3 mg/dL (114 µmol/L).

Which therapeutic measures are indicated?

A. Antibiotic treatment and interruption of diuretic treatment

B. Antibiotic treatment, interruption of diuretic treatment, and albumin i.v. (1.5 g/kg body weight on day 1 and 1 g/kg on day 3)

C. Antibiotic treatment, interruption of diuretic treatment, and albumin i.v. (1 g/kg body weight for 2 days)

D. Antibiotic treatment, interruption of diuretic treatment, and albumin i.v. (1 g/kg body weight for 2 days), and terlipressin i.v. (2 mg/24 h)

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