A diagnosis of pneumococcal peritonitis secondary to pyo-salpinx in a young healthy female by culturing peritoneal pus.
Pneumococcal intra-abdominal infections of female genital tract origin are rare. A 33-year-old woman with peritonitis due to Streptococcus pneumoniae serotype 3 was reported. The patient did not have any of the known predisposing conditions for intra-abdominal pneumococcal infection. The clinical presentation included signs of multiorgan failure. Peritoneal toilette, bilateral salpingectomy and antibiotic treatment were promptly administered. The patient remained febrile, developed respiratory failure and required a repeated laparotomy and a prolonged antimicrobial treatment. Penicillin susceptible S. pneumoniae was isolated from the pus collected at surgery. Thus, culturing of intra-operative specimens should never be neglected to establish the correct microbiologic diagnosis.
Pasticci
Maria Bruna
MB
Department of Biochemical Science and Experimental Medicine, Section of Infectious Diseases, University of Perugia, Perugia, Italy. pasticci@unipg.it
Donnini
Annibale
A
Mencacci
Antonella
A
Lapalorcia
Luigi Maria
LM
Cavazzoni
Emanuel
E
Baldelli
Franco
F
D000328:Adult; D005260:Female; D006801:Humans; D008826:Microbial Sensitivity Tests; D009102:Multiple Organ Failure; D010538:Peritonitis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D011008:Pneumococcal Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D012488:Salpingitis / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D012703:Serotyping; D013296:Streptococcus pneumoniae / Q000145:classification / Q000302:isolation & purification*; D013492:Suppuration / Q000382:microbiology