[Primary peritonitis in children. Apropos of 12 case reports].
Primary peritonitis is rare condition in children. Twelve cases in previously healthy children is reported. The diagnosis was made at laparotomy in the absence of intra-abdominal findings, such as intestinal perforation. Organisms was isolated from peritoneal fluid in 7 cases, Staphylococcus aureus in 3, Streptococcus pneumoniae in 2, beta-hemolytic Streptococcus and E. coli in 1. Peritoneal fluid cultures were sterile in 5 cases, Streptococcus pneumoniae was otherwise incriminated in 2 cases. Recovery was rapid with broad-spectrum antibiotic therapy in 11 cases. One death in an infant was related to late intervention. Recent reports indicate an increase of primary peritonitis caused by gram-negative organisms. The prognosis has improved since the use of antibiotics, but its incidence appears unvarying.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy; D002648:Child; D002675:Child, Preschool; D004927:Escherichia coli Infections / Q000175:diagnosis; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010538:Peritonitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D011008:Pneumococcal Infections / Q000175:diagnosis; D011379:Prognosis; D013203:Staphylococcal Infections / Q000175:diagnosis; D013290:Streptococcal Infections / Q000175:diagnosis
D000900:Anti-Bacterial Agents
Péritonites primitives de l'enfant. A propos de 12 observations.