[Primary peritonitis in children with nephrotic syndrome].
The primitive peritonitis (PP) is one of the rare but severe complications of the nephrotic syndrome. Through a series of 25 children who suffer from a primitive peritonitis complicating or revealing a nephritic syndrome, we tried to analyse the epidemiological and bacteriological aspects of these peritonitis. The mean age of the children is 7 years old with neat male predominance (3 boys/1 girl). Two patients presented 2 episodes of PP. In 16% of the cases, the PP revealed a nephrotic syndrome. The isolated germs in our series are the Escherichia coli (45.5%) and the pneumococcus (36.5%), in 56% of the cases, the germ has not been identified. The precocious large use of probabilist antibiotherapy permitted a favourable evolution with nil rate of mortality.
Lasry
Fatine
F
Service de pédiatrie 3, unité de néphrologie pédiatrique, CHU Ibn-Rochd, 172, boulevard Zerktouni, appartement 9, 4(e) étage, Casablanca, Maroc. lasryfatine@hotmail.com
Badre
Amal
A
Naim
Aicha
A
Oumlil
Mina
M
Khalifa
Habiba Hadj
HH
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D004926:Escherichia coli / Q000302:isolation & purification; D005260:Female; D006801:Humans; D008297:Male; D009404:Nephrotic Syndrome / Q000150:complications*; D010538:Peritonitis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D012189:Retrospective Studies; D013296:Streptococcus pneumoniae / Q000302:isolation & purification
D000900:Anti-Bacterial Agents