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Cases of Note. Mystery or misery? Primary group A streptococcal peritonitis in women: case report.

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...

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Published in:American Journal of Critical Care Vol. 19; no. 5; pp. 454 - 459
Main Authors: Haap M, Haas CS, Teichmann R, Horger M, Raible A, Lamprecht G
Format: case study diagnostic images pictorial Journal Article
Published: American Association of Critical-Care Nurses Sep2010
Online Access:View this record in EBSCOhost
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      jtl: American Journal of Critical Care
      issn: 10623264
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      dt: Sep2010
      vid: 19
      iid: 5
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      pub: American Association of Critical-Care Nurses
      place: Alisa Veijo, California
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        atl: Cases of Note. Mystery or misery? Primary group A streptococcal peritonitis in women: case report.
      aug:
        au:
          Haap M
          Haas CS
          Teichmann R
          Horger M
          Raible A
          Lamprecht G
        affil: Attending physician, Department of Visceral Surgery, Eberhard-Karls-University, Tübingen, Germany
      sug:
        subj:
          Peritonitis Etiology
          Peritonitis Diagnosis
          Peritonitis Drug Therapy
          Streptococcal Infections
          Adult
          Female
          Germany
          Chinese Persons
          Peritonitis Symptoms
          Streptococcus
          Paracentesis
          Therapeutic Irrigation
          Antibiotics Administration and Dosage
          Laparotomy
          Hematologic Tests
          Biopsy
          Adult: 19-44 years
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: English
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