Group A streptococcal primary peritonitis in an otherwise healthy adolescent female

Group A streptococcal (GAS) primary peritonitis is a rare clinical entity, particularly in the pediatric population. Traditionally patients with primary peritonitis, particularly those with underlying medical conditions such as nephrotic syndrome and liver disease, are managed non-operatively with a...

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Main Authors: Torbjorg Holtestaul, M.D (Author), Allison Langs-Barlow, M.D (Author), Meade Barlow, M.D (Author)
Format: Book
Published: Elsevier, 2021-01-01T00:00:00Z.
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Summary:Group A streptococcal (GAS) primary peritonitis is a rare clinical entity, particularly in the pediatric population. Traditionally patients with primary peritonitis, particularly those with underlying medical conditions such as nephrotic syndrome and liver disease, are managed non-operatively with antibiotics. However, most patients presenting with GAS primary peritonitis undergo operative intervention as it is difficult to exclude an intra-abdominal source in an otherwise healthy child with clinical evidence of peritonitis. We present a case of a 16-year-old female with GAS primary peritonitis following a previous hospitalization for GAS pyelonephritis. We additionally review the recent pediatric literature on GAS primary peritonitis and discuss options for diagnosis and management.
Item Description:2213-5766
10.1016/j.epsc.2020.101729