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KMID : 0816120020050010083
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2002 Volume.5 No. 1 p.83 ~ p.87
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Primary Pneumococcal Peritonitis in a Healthy Child
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Yang Jeong-Soo
Lee Min-Hae
Choi Myoung-Bum
Park Chan-Hoo
Woo Hyang-Ok
Youn Hee-Sang
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Abstract
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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.
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KEYWORD
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Primary pneumococcal peritonitis
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