title: [Two adult patients with pneumococcal peritonitis].
abstract: Two women, aged 31 and 37 years, had abdominal pain and fever several months after giving birth and a few weeks after receiving an intrauterine device. Both patients were admitted and treated under the working diagnosis of pelvic inflammatory disease (PID). They appeared to have pneumococcal adnexitis and pneumococcal peritonitis. Both patients recovered after initiating directed antibiotic treatment. Peritonitis in previously healthy adults is seldom caused by pneumococci. Standard antibiotics that are effective when given empirically for PID may be a suboptimal treatment for pneumococcal peritonitis.
authors.affiliation: Academisch Medisch Centrum/Universiteit van Amsterdam. r.j.rentenaar@amc.uva.nl
authors.forename: R J
authors.initials: RJ
authors.lastname: Rentenaar
authors.forename: R A
authors.initials: RA
authors.lastname: Hakvoort
authors.forename: R J
authors.initials: RJ
authors.lastname: van Ketel
authors.forename: L
authors.initials: L
authors.lastname: Spanjaard
authors.forename: M P M
authors.initials: MP
authors.lastname: Burger
authors.forename: P
authors.initials: P
authors.lastname: Speelman
mesh_terms: D015746:Abdominal Pain / Q000382:microbiology; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects; D000292:Pelvic Inflammatory Disease / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D010538:Peritonitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D011008:Pneumococcal Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D049590:Postpartum Period; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents