1
40
1
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1097/ipc.0000000000000590" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/ipc.0000000000000590</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
66-70
Issue
2
Volume
26
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Primary Peritonitis Due to Streptococcus pyogenes: Report of 2 Cases and Review of the 21st-Century Literature
Publisher
An entity responsible for making the resource available
Infectious Diseases in Clinical Practice
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
2018-03
Subject
The topic of the resource
sepsis; adults; Streptococcus pyogenes; rare; Infectious Diseases; Immunology; infection; group A streptococcus; group A streptococcus; primary peritonitis; spontaneous bacterial peritonitis; spontaneous peritonitis; toxic-shock-syndrome; young healthy woman
Creator
An entity primarily responsible for making the resource
Moftakhar B; Patel Y S; Poblete J E; Myers J P
Description
An account of the resource
Introduction Primary peritonitis (PP) is peritonitis occurring in patients without underlying causes such as perforated viscus, preexisting ascites, or nephrosis. We report 2 cases of primary Streptococcus pyogenes peritonitis and review the literature on this subject since January 1, 2000. Case Reports Patient 1 was a 45-year-old woman who presented to hospital with fever, diarrhea, and abdominal pain. Examination revealed fever, hypotension, epigastric tenderness, and guarding. Computed tomography (CT) scan was negative for signs of perforated viscus. Workup included blood cultures, parenteral antibiotics, and surgical consult. She underwent emergent operative intervention, which revealed generalized peritonitis, cloudy peritoneal fluid, and no evidence of perforated viscus. Blood cultures revealed S. pyogenes. She underwent an unremarkable recovery on parenteral ceftriaxone followed by oral ampicillin. Patient 2 was a 47-year-old woman who presented to hospital with fever, chills, anorexia, nausea, vomiting, and abdominal pain. Physical examination showed fever, hypotension, tachycardia, and diffuse abdominal tenderness but no rebound tenderness. Abdominal CT scan revealed fluid but no free air. Paracentesis revealed purulent fluid, which on Gram-stained smear showed gram-positive cocci in pairs and chains. Blood and peritoneal fluid cultures were positive for S. pyogenes. Exploratory laparotomy by surgical consultant showed purulent fluid and fibrinous exudate with multiple interloop abscesses and no perforated viscus. Postoperatively, she received parenteral penicillin G, transient hemodialysis, and ventilator support with eventual full recovery. Review of Literature We reviewed the medical literature from January 1, 2000, to December 31, 2016, and found 36 patients with diagnosis of S. pyogenes PP. Despite most of these case reports stating that the occurrence of S. pyogenes PP is rare, it seems that it is more common than previously thought. All but 3 patients underwent surgical intervention. All 38 patients presented with physical findings of an acute abdomen. There was no evidence of free air on CT scanning or ultrasound of the 33 patients who underwent one of these imaging techniques. Septic shock was common, and all but 1 patient survived. ConclusionsStreptococcus pyogenes PP is more common than previously reported, is associated with physical findings of acute abdomen, is usually accompanied by circulatory shock, and is almost always clinically responsive to treatment with operative and antimicrobial agent interventions.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1097/ipc.0000000000000590" target="_blank" rel="noreferrer noopener">10.1097/ipc.0000000000000590</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
2018
adults
group A streptococcus
Immunology
Infection
Infectious Diseases
Infectious Diseases in Clinical Practice
Journal Article or Conference Abstract Publication
Moftakhar B
Myers J P
Patel Y S
Poblete J E
primary peritonitis
rare
sepsis
spontaneous bacterial peritonitis
spontaneous peritonitis
Streptococcus pyogenes
toxic-shock-syndrome
young healthy woman