Primary Peritonitis due to Group A Streptococcus in a Previously Healthy Pediatric Patient

Primary peritonitis remains a rare disease in otherwise healthy children, with group A Streptococcus (GAS) being a particularly unusual cause. A case involving a 14-year-old girl, who presented with an ‘acute abdomen’ and was taken to the operating room for urgent laparoscopy, is reported. Abdominal...

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Main Authors: R Holden, A Wilmer, T Kollman
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Canadian Journal of Infectious Diseases and Medical Microbiology
Online Access:http://dx.doi.org/10.1155/2012/105850
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author R Holden
A Wilmer
T Kollman
author_facet R Holden
A Wilmer
T Kollman
author_sort R Holden
collection DOAJ
description Primary peritonitis remains a rare disease in otherwise healthy children, with group A Streptococcus (GAS) being a particularly unusual cause. A case involving a 14-year-old girl, who presented with an ‘acute abdomen’ and was taken to the operating room for urgent laparoscopy, is reported. Abdominal and pelvic structures were only minimally inflamed, as was the appendix. Peritoneal fluid and blood cultures both grew pure cultures of GAS. The patient’s course was complicated by streptococcal toxic shock syndrome. She fortunately made a full recovery. The present report highlights the diagnostic and treatment dilemmas associated with GAS primary peritonitis.
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spelling doaj-art-54842d86c3ff46fea34be98a302b10ac2025-08-20T02:05:45ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95322012-01-01233e69e7010.1155/2012/105850Primary Peritonitis due to Group A Streptococcus in a Previously Healthy Pediatric PatientR Holden0A Wilmer1T Kollman2Department of Internal Medicine, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Pediatrics, Division of Infectious and Immunological Diseases, University of British Columbia, Vancouver, British Columbia, CanadaPrimary peritonitis remains a rare disease in otherwise healthy children, with group A Streptococcus (GAS) being a particularly unusual cause. A case involving a 14-year-old girl, who presented with an ‘acute abdomen’ and was taken to the operating room for urgent laparoscopy, is reported. Abdominal and pelvic structures were only minimally inflamed, as was the appendix. Peritoneal fluid and blood cultures both grew pure cultures of GAS. The patient’s course was complicated by streptococcal toxic shock syndrome. She fortunately made a full recovery. The present report highlights the diagnostic and treatment dilemmas associated with GAS primary peritonitis.http://dx.doi.org/10.1155/2012/105850
spellingShingle R Holden
A Wilmer
T Kollman
Primary Peritonitis due to Group A Streptococcus in a Previously Healthy Pediatric Patient
Canadian Journal of Infectious Diseases and Medical Microbiology
title Primary Peritonitis due to Group A Streptococcus in a Previously Healthy Pediatric Patient
title_full Primary Peritonitis due to Group A Streptococcus in a Previously Healthy Pediatric Patient
title_fullStr Primary Peritonitis due to Group A Streptococcus in a Previously Healthy Pediatric Patient
title_full_unstemmed Primary Peritonitis due to Group A Streptococcus in a Previously Healthy Pediatric Patient
title_short Primary Peritonitis due to Group A Streptococcus in a Previously Healthy Pediatric Patient
title_sort primary peritonitis due to group a streptococcus in a previously healthy pediatric patient
url http://dx.doi.org/10.1155/2012/105850
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AT awilmer primaryperitonitisduetogroupastreptococcusinapreviouslyhealthypediatricpatient
AT tkollman primaryperitonitisduetogroupastreptococcusinapreviouslyhealthypediatricpatient