welcome to healthcare magic ....
Ascities with a exudative picture on ascitic fluid analysis - suggests infection.
Now what infection is the issue ?? 1) Bacterial - yes possible , Fever
, exudative picture on ascitic fluid analysis is supportive. But counts TLC is not very high thats against. I would have liked to know what is the Ascitic fluid cell count and the cell type- if predonimant neutrophils (PMN s) and count > 250 is strongly suggestive of bacerial infection - treatment would be with a third gen cephalosporin
2) Second possibility is TB Abdomen , Raised ADA, Tb Gold positive are supportive and mantoux negative is against Tb .I would like to knoe if ascitic fluid was examined for gram stain and AFB , if AFB is positive then its a definite Tb and requires anti tubericular treatment with 3 drugs.
I aould like to know 2 things
1) What is the Cell count and cell type report of ascitic fluid analysis?
2) What is gram stain and ZN stain for AFB report of ascitic fliud analysis ?
These can help me . help you with the diagnosis.