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.