Matsumoto Y, Shimizu A, Ogawa K, Kuroki S, Ikuta K, Senda E, Kagawa H, Shio S. Primary Peritonitis Due to Group A Streptococcus Successfully Treated with Intraperitoneal Drainage.
Intern Med 2024;
63:1229-1235. [PMID:
37722896 PMCID:
PMC11116018 DOI:
10.2169/internalmedicine.1933-23]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Accepted: 08/02/2023] [Indexed: 09/20/2023] Open
Abstract
A 42-year-old woman was admitted to our hospital because of lower abdominal pain and diarrhea. Although the initial symptoms and imaging findings were similar to those of acute enteritis, blood and ascites cultures led to the diagnosis of primary peritonitis caused by group A Streptococcus. In many cases, the disease rapidly deteriorates, and laparotomy is performed for the early diagnosis and to reduce the number of bacteria in the abdominal cavity. In the present case, intraperitoneal drainage was effective for avoiding surgery. We suggest that intraperitoneal drainage is effective for the treatment of this disease.
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