Primary Peritonitis Secondary to Streptococcus pyogenes in a Young Female Adult—A Case Report and Literature Review

Infectious Disease Reports

JamesW. K. Lee¹  KonVoi Tay²  AvelynE. Y. Aw³ 

[1] Department of Surgery, National University Hospitals, Singapore 119228, Singapore;Department of Surgery, Woodlands Health Campus, Singapore 768024, Singapore;Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore;

关键词: primary peritonitis;    spontaneous bacterial peritonitis;    streptococcus pyogenes;    group A streptococcus;    acute abdomen;    infective ascites;   

DOI  :  10.3390/idr13010005

来源: DOAJ

【 摘 要 】

Primary spontaneous bacterial peritonitis (SBP) is a rare cause of acute abdomen in previously healthy patients, even more unusually caused by a group A Streptococcus (GAS) (also known as Streptococcus pyogenes) infection. We report a young, otherwise healthy female who presented with generalized abdominal pain that was initially managed conservatively as gastroenteritis, with a computed tomography (CT) scan showing a ruptured corpus luteal cyst. Upon subsequent readmission with worsened pain and symptoms, a repeat CT scan showed worsened free fluid with signs of peritonitis. A diagnostic laparoscopy confirmed primary peritonitis with an unknown infection source and causative pathology, as the appendix, ovaries and bowels were healthy-looking. Fluid cultures returned positive for GAS Pyogenes, while blood and urine cultures were negative. The discussion reviews the challenges in diagnosis and treatment of GAS primary peritonitis, highlighting the need for clinical suspicion, early diagnosis via laparoscopy or laparotomy and prompt antibiotic therapy as the current standard for treatment.

【 授权许可】

Unknown