title: A rare case of primary group A streptococcal peritonitis.
abstract: Primary Group A streptococcal peritonitis is a rare clinical entity that is almost always associated with underlying disease. Group A streptococcus commonly causes upper respiratory tract infections and cutaneous infections such as impetigo and erysipelas. However, Group A streptococcus has rarely been associated with gastrointestinal infections. This is a case report describing a previously healthy adult male who developed primary Group A streptococcal peritonitis. Diagnostic laparoscopy resulted in identification of peritonitis without an identifiable intra-abdominal source. Appropriate antibiotic therapy was instituted. Culture of blood, sputum, urine, and urethra were all pathogen free. The patient made a complete recovery and was dismissed from the hospital on oral clindamycin and cephalexin. To the best of our knowledge this report represents the only documented case of primary Group A streptococcal peritonitis in a male patient without any significant past medical history.
authors.affiliation: The Department of Surgery, University of Kansas School of Medicine-Wichita, 67214, USA.
authors.forename: N C
authors.initials: NC
authors.lastname: Sanchez
authors.forename: B A
authors.initials: BA
authors.lastname: Lancaster
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D010538:Peritonitis / Q000175:diagnosis / Q000188:drug therapy / Q000382:microbiology*; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D013297:Streptococcus pyogenes