Primary Group A Streptococcal Peritonitis in a Previously Healthy Child

Primary Group A Streptococcal Peritonitis in a Previously Healthy Female Teenage Patient

“… 7 , 8 Review of the pediatric literature reveals treatment consists of laparotomy to establish the diagnosis and treatment, with surgical exploration of the abdominal cavity and extensive washout. 2 - 8 , 10 - 13 In contrast, our patient did not undergo exploratory laparotomy. However, she developed large loculated abscesses, requiring placement of multiple drains during her treatment course.…”

“… 3 , 6 In the literature, the duration of antibiotics ranges from 10 to 21 days ( Table 1 ). 2 , 3 , 10 - 14 Our patient required 61 days of antibiotic therapy, suggesting that laparotomy may decrease length of illness. Although penicillin G remains first-line for treatment and prevention of GAS infection, various antibiotics have been employed ( Table 1 ).…”

“…Although penicillin G remains first-line for treatment and prevention of GAS infection, various antibiotics have been employed ( Table 1 ). 2 - 8 , 10 - 14 In this case, penicillin G was selected for inpatient treatment of peritonitis, while cephalexin was utilized as an oral alternative for outpatient antibiotic therapy due to ease of dosing.…”

Group A streptococcal primary peritonitis in a healthy girl

“…However, the analysis of the primary outcome was carried out using per protocol principle (Table 1) 1 which is also not in accordance to CONSORT guidelines. 2 The proportion of infants who were Vitamin D replete at 3-4 months of age was similar in both group with a significantly lower mean 25-OHD in the bolus (65 nmol/L, 95% confidence interval (CI) 59-71) compared with the daily group (81 nmol/L, 95% CI 77-85) (P = 0.008) despite only eight (31%) babies reporting daily adherence (i.e. cumulative dose of 50 000 IU of vitamin D) versus 100% in single bolus group.…”

Οικιστική Δραστηριότητα Και Οργάνωση Του Χώρου Στους Οικισμούς Της Νεότερης Νεολιθικής Στη Θεσσαλία

“…Η παλαιότερη, γνωστή ως Niederterrasse (Jung & Schneider 1968, 10-13) διαμορφώθηκε από το Ύστερο Πλειστόκαινο έως το Μέσο Ολόκαινο μεταξύ 45.000-6.000 πριν το παρόν και βρίσκεται 5-15 μ. ψηλότερα από τη νεότερη και χαμηλότερη πλημμυρική πεδιάδα, αντιστοιχώντας περ. στη μισή πεδιάδα Β. της Λάρισας (Demitrack 1986(Demitrack , 29, 1994. Η Niederterrasse είναι αποτέλεσμα της συνέργειας κλιματικών, τεκτονικών και αvθρωπoγενών αιτιών και αποτελείται από τρία μεγάλα αποθετικά επεισόδια που συνοδεύονται από τη δημιουργία αλλουβιακών ριπιδίων στις παρυφές της πεδιάδας.…”