Primary Pneumococcal Peritonitis in a Healthy Child.
- Author:
Jeong Soo YANG
1
;
Min Hae LEE
;
Myoung Bum CHOI
;
Chan Hoo PARK
;
Hyang Ok WOO
;
Hee Shang YOUN
Author Information
1. Department of Pediatrics, Gyeongsang National University College of Medicine, Jinju, Korea.
- Publication Type:Case Report
- Keywords:
Primary pneumococcal peritonitis
- MeSH:
Appendicitis;
Ascites;
Bacterial Infections;
Child*;
Child, Preschool;
Diagnosis;
Female;
Fibrosis;
Humans;
Ileus;
Intestinal Perforation;
Laparotomy;
Nephrotic Syndrome;
Peritoneal Cavity;
Peritonitis*;
Suppuration
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
2002;5(1):83-87
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Primary peritonitis usually refers to a bacterial infection of the peritoneal cavity without a demonstrable intra-abdominal source. Most cases occur in children with ascites resulting from nephrotic syndrome or cirrhosis. Rarely, it may occur in previously healthy children less than 7 years of age, usually a girl. Distinguishing primary peritonitis from appendicitis may be impossible in patients without a history of nephrotic syndrome or cirrhosis. Accordingly, the diagnosis of primary peritonitis is made only at laparotomy. We report one case of primary pneumococcal peritonitis in a 27-month-old female who underwent explorative laparotomy to discover the cause of suspicious intestinal perforation and mechanical ileus. Later, pneumococci were cultured in blood and gram-positive diplococci were isolated from the pus of peritoneal cavity.
