title: Primary pneumococcal peritonitis as a presenting feature of HIV infection.
abstract: We report a case of primary pneumococcal peritonitis in a 28-year old previously healthy woman. There are no previously reported associations between this rare form of spontaneous peritonitis and HIV infection, and it is usually associated with underlying cirrhosis, ascites or other immune compromise. In this case this was the presenting illness of HIV infection. When atypical infections such as this arise in previously healthy adults the clinician must have a high index of suspicion of HIV or other underlying immunodeficiency.
authors.affiliation: Department of Genitourinary/HIV Medicine and Medical Microbiology, Royal Sussex County Hospital, Eastern Road, Brighton BN2 5BE, UK. Constantine.alifrangis@bsuh.nhs.uk
authors.forename: Constantine
authors.initials: C
authors.lastname: Alifrangis
authors.forename: Phillip
authors.initials: P
authors.lastname: Thompson
authors.forename: Guy
authors.initials: G
authors.lastname: Thwaites
authors.forename: Duncan
authors.initials: D
authors.lastname: Churchill
mesh_terms: D000328:Adult; D005260:Female; D006678:HIV; D015658:HIV Infections / Q000382:microbiology*; D006801:Humans; D010538:Peritonitis / Q000382:microbiology* / Q000821:virology*; D011008:Pneumococcal Infections / Q000473:pathology / Q000821:virology*; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*