title: Mystery or misery? Primary group A streptococcal peritonitis in women: case report.
abstract: Acute primary peritonitis in the absence of other comorbid conditions such as liver cirrhosis, immunosuppression, or nephrotic syndrome is a rare disorder in young adults. In women, ascending genital infections are thought to be a major pathogenic cause of this type of peritonitis. Pus was detected in the peritoneal cavity by abdominal paracentesis in a 27-year-old woman who had no predisposing features for severe peritonitis. Abdominal computed tomography showed perirectal edema. Laparotomy was performed, but no intra-abdominal focus of infection could be detected. The abdomen was irrigated via a subhepatic and retroperitoneal presacral approach, and broad-spectrum antibiotic therapy was started. Blood cultures revealed group A streptococci, usually a common cause of upper respiratory tract infections or erysipelas. Within a few days, the patient recovered completely and returned to normal life.
authors.affiliation: Department of Endocrinology, Metabolism, Nephrology, Clinical Chemistry, and Vascular Medicine, Eberhard-Karls-University, Tübingen, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Haap
authors.forename: Christian S
authors.initials: CS
authors.lastname: Haas
authors.forename: Reinhard
authors.initials: R
authors.lastname: Teichmann
authors.forename: Marius
authors.initials: M
authors.lastname: Horger
authors.forename: Armin
authors.initials: A
authors.lastname: Raible
authors.forename: Georg
authors.initials: G
authors.lastname: Lamprecht
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010538:Peritonitis / Q000382:microbiology* / Q000473:pathology; D013290:Streptococcal Infections / Q000175:diagnosis*; D013297:Streptococcus pyogenes / Q000302:isolation & purification*