Diagnosis and treatment of spontaneous group A streptococcal peritonitis

Abstract

PSAP is a rare condition, often requiring aggressive surgical treatment. Group A streptococcal peritonitis should be suspected in patients with no radiological evidence of a peritoneal portal of entry and no history of ascites.

Primary peritonitis due to Streptococcus A: Laparoscopic treatment

“…But in patients without these risk factors, primary peritonitis is a very rare condition; fewer than 60 cases have been reported in the literature [1]. Primary peritonitis primarily affects infants and young women and occurs more commonly in the fall and the winter; it represents less than 1% of all cases of peritonitis.…”

Streptococcal toxic shock syndrome with primary group A streptococcus peritonitis in a healthy female

“…According to a literature review of Malota et al, there is a female preponderance among 35 cases of GAS peritonitis, with a female to male ratio of 4: 1 and the median age of 38 [3]. Contrary to this, Iwata et al collected data on female patients only and summarized 75 patients; fifty-five of them (73%) were below 50 [6]. This much higher incidence in women of childbearing age was attributed to the ascent of GAS from genital tract; this standpoint is based on the isolation of GAS from female organs, especially vagina [6].…”

“…Contrary to this, Iwata et al collected data on female patients only and summarized 75 patients; fifty-five of them (73%) were below 50 [6]. This much higher incidence in women of childbearing age was attributed to the ascent of GAS from genital tract; this standpoint is based on the isolation of GAS from female organs, especially vagina [6]. Though most of the females were asymptomatic genital carriers of GAS, cases are outlined with concomitant vaginitis, cervicitis, endometritis/parametritis, salpingitis, oophoritis, ovarian abscess and pelvic abscess [5,6,9].…”

“…This much higher incidence in women of childbearing age was attributed to the ascent of GAS from genital tract; this standpoint is based on the isolation of GAS from female organs, especially vagina [6]. Though most of the females were asymptomatic genital carriers of GAS, cases are outlined with concomitant vaginitis, cervicitis, endometritis/parametritis, salpingitis, oophoritis, ovarian abscess and pelvic abscess [5,6,9]. Apart from genital isolation, GAS has been isolated from the oropharynx of children and family members of the affected patients.…”

Spontaneous Bacterial Peritonitis Due to Streptococcus Pneumoniae - Case Report

“…SBP caused by Streprococcus pneumoniae in patients with uncompensated liver cirrhosis is usually associated with respiratory tract infection. In such cases, the infection of ascitic fluid is by blood, from the focus localised in the respiratory system (7,8). Of impact on the current patient's condition might have been edoscopic examinations performed in the past due to duodenal peptic ulcer, as well as longterm use of agents lowering the secretion of gastric juice (omeprazole).…”