title: [Primary pneumococcal peritonitis: description of a case and review of the literature].
abstract: Streptococcus pneumoniae causes lobar pneumonitis but primary peritonitis can occur in cyrrotic adults as well as in children affected by nephrosis and immunopathies. In young females peritonitis can be the consequence of infection localized at genital organs. Pneumococcal sepsis is becoming rare with the antibiotic era but resistance to penicillin is actually frequent and is becoming a problem for elderly. We report a case of a young woman affected by spontaneous primary peritonitis and pneumococcal sepsis. The prevalent symptoms were gastrointestinal: diarrhea and emesis. No infectious foci could be detected on imaging studies and during surgery.
authors.affiliation: Divisione Medicina, Ospedale A. Gallino, Genova-Ponte X, Italia.
authors.forename: T
authors.initials: T
authors.lastname: Coialbu
authors.forename: F
authors.initials: F
authors.lastname: Minervini
authors.forename: M
authors.initials: M
authors.lastname: Pittaluga
authors.forename: A
authors.initials: A
authors.lastname: Banderali
authors.forename: R
authors.initials: R
authors.lastname: Bandettini
authors.forename: R
authors.initials: R
authors.lastname: Monacelli
authors.forename: M P
authors.initials: MP
authors.lastname: Parodi
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010538:Peritonitis / Q000382:microbiology*; D011008:Pneumococcal Infections / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery