Primary bacterial peritonitis in a previously healthy adolescent female: A case report.
BACKGROUND
Acute pneumococcal peritonitis represents an unusual entity characterized by infection in the abdominal cavity despite the absence of an obvious causative source. Patients with portal hypertension such as cirrhotics and those with nefrotic syndrome are more frequently encountered in the every day practice.


METHODS
A 14 years old female was referred to our department by his general practitioner with a 24h history of right lower abdominal pain and fever. Clinical examination was suggestive for peritonitis and the girl was transferred to the operation room. A diagnosis of primary pneumococcal peritonitis was made on the basis of the findings during surgery and the microbiological tests. Institution of appropriate antibiotics resulted to complete recovery.


CONCLUSIONS
A mini literature review was performed.


CONCLUSIONS
Primary bacterial peritonitis in adolescents is extremely rare. Surgeons are required to be aware of this entity.
Pediatric Surgery Department, University General Hospital of Heraklion, Crete, Greece.
Evangelos
E
Blevrakis
Primary Health Care Centre of Kissamos, Chania, Crete, Greece. Electronic address: danyfantakis@med.uoc.gr.
Dimitrios
D
Anyfantakis
University General Hospital of Heraklion, Crete, Greece.
Emmanouil
E
Blevrakis
Pediatric Surgery Department, University General Hospital of Heraklion, Crete, Greece.
Ioannis
I
Vlachakis
Diagnosis; Immunocompetent; Primary peritonitis
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