title: [Emergent pneumococcus primary peritonitis in children: presentation of two cases].
abstract: BACKGROUND
  Primary peritonitis is rare condition in children previously healthy. It is often related to cirrosis and kidney disease or peritoneal dyalisis. The diagnosis must be made at laparotomy in the absence of intraabdominal findings and positive cultures of peritoneal fluids.
  
  
  METHODS
  Two cases were studied. Both cases were diagnosed during surgery and had positive cultures for streptococcus pneumaniae, recovery was rapid with broad-spectrum antibiotic therapy in peritonitis caused by gram positives cocos.
  
  
  CONCLUSIONS
  Recent reports indicate an increase of primary peritonitis caused by gram negative organims specially by neumococo. It seems to be a rising of the pathology since the massive antineumococcical vaccinacion. The prognosis has improved with the correct therapy but its incidence appears unvarying.
authors.affiliation: Servicio de Pediatría, Hospital Privado de Córdoba, Naciones Unidas 346, Córdoba, Argentina. lau_corredera@yahoo.com
authors.forename: Laura Valeria
authors.initials: LV
authors.lastname: Corredera
authors.forename: Maria Laura
authors.initials: ML
authors.lastname: Daruich
authors.forename: Juan Ignacio
authors.initials: JI
authors.lastname: Diaz
authors.forename: Eduardo
authors.initials: E
authors.lastname: Cuestas
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D010538:Peritonitis / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D011008:Pneumococcal Infections / Q000628:therapy; D022242:Pneumococcal Vaccines / Q000009:adverse effects; D013296:Streptococcus pneumoniae / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents; D022242:Pneumococcal Vaccines