title: A diagnosis of pneumococcal peritonitis secondary to pyo-salpinx in a young healthy female by culturing peritoneal pus.
abstract: 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.
authors.affiliation: Department of Biochemical Science and Experimental Medicine, Section of Infectious Diseases, University of Perugia, Perugia, Italy. pasticci@unipg.it
authors.forename: Maria Bruna
authors.initials: MB
authors.lastname: Pasticci
authors.forename: Annibale
authors.initials: A
authors.lastname: Donnini
authors.forename: Antonella
authors.initials: A
authors.lastname: Mencacci
authors.forename: Luigi Maria
authors.initials: LM
authors.lastname: Lapalorcia
authors.forename: Emanuel
authors.initials: E
authors.lastname: Cavazzoni
authors.forename: Franco
authors.initials: F
authors.lastname: Baldelli
mesh_terms: 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