From the Pharynx to the Abdomen: A Case of Primary Peritonitis
Primary peritonitis usually occurs in patients with comorbidities previously diagnosed with ascites. However, a primary peritoneal infection in previously healthy patients may also ensue. There has been an increase in reported cases of primary peritonitis due to Streptococcus pyogenes affecting most...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Ordem dos Médicos
2018-12-01
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| Series: | Acta Médica Portuguesa |
| Subjects: | |
| Online Access: | https://actamedicaportuguesa.com/revista/index.php/amp/article/view/10053 |
| _version_ | 1818015411170443264 |
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| author | Miguel Lourenço Varela Mihail Mogildea Ignacio Moreno Daniel Nunez |
| author_facet | Miguel Lourenço Varela Mihail Mogildea Ignacio Moreno Daniel Nunez |
| author_sort | Miguel Lourenço Varela |
| collection | DOAJ |
| description | Primary peritonitis usually occurs in patients with comorbidities previously diagnosed with ascites. However, a primary peritoneal infection in previously healthy patients may also ensue. There has been an increase in reported cases of primary peritonitis due to Streptococcus pyogenes affecting mostly women. It usually presents as a severe acute abdominal pain, which prompts surgical exploration. Although infected ascitic fluid is seen, there is no rupture. In this article, we present a case of primary peritonitis due to Streptococcus pyogenes which rapidly evolved to septic shock and acute respiratory distress syndrome. The abdominal and pelvic computed tomography at admission showed no ascitic fluid. However, a few hours later, during surgical exploration, purulent ascitic fluid was seen throughout the abdominal cavity. It is important to be aware of this rapid accumulation of ascitic fluid, even without visceral perforation, as peritoneal lavage may be warranted to contain the infection. |
| first_indexed | 2024-04-14T06:56:41Z |
| format | Article |
| id | doaj.art-fdc3066f31ca4596b9ee94ef066c5bb2 |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-14T06:56:41Z |
| publishDate | 2018-12-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-fdc3066f31ca4596b9ee94ef066c5bb22022-12-22T02:06:52ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582018-12-01311277477710.20344/amp.100534688From the Pharynx to the Abdomen: A Case of Primary PeritonitisMiguel Lourenço Varela0Mihail Mogildea1Ignacio Moreno2Daniel Nunez3Serviço de Medicina Interna 1. Centro Hospitalar Universitário do Algarve. Unidade de Faro. Faro. Serviço de Medicina Intensiva 1. Centro Hospitalar Universitário do Algarve. Unidade de Faro. Faro.Serviço de Medicina Interna 1. Centro Hospitalar Universitário do Algarve. Unidade de Faro. Faro.Serviço de Medicina Interna 1. Centro Hospitalar Universitário do Algarve. Unidade de Faro. Faro.Serviço de Medicina Intensiva 1. Centro Hospitalar Universitário do Algarve. Unidade de Faro. Faro.Primary peritonitis usually occurs in patients with comorbidities previously diagnosed with ascites. However, a primary peritoneal infection in previously healthy patients may also ensue. There has been an increase in reported cases of primary peritonitis due to Streptococcus pyogenes affecting mostly women. It usually presents as a severe acute abdominal pain, which prompts surgical exploration. Although infected ascitic fluid is seen, there is no rupture. In this article, we present a case of primary peritonitis due to Streptococcus pyogenes which rapidly evolved to septic shock and acute respiratory distress syndrome. The abdominal and pelvic computed tomography at admission showed no ascitic fluid. However, a few hours later, during surgical exploration, purulent ascitic fluid was seen throughout the abdominal cavity. It is important to be aware of this rapid accumulation of ascitic fluid, even without visceral perforation, as peritoneal lavage may be warranted to contain the infection.https://actamedicaportuguesa.com/revista/index.php/amp/article/view/10053Peritoneal LavagePeritonitisShock, SepticStreptococcus pyogenesTonsillitis |
| spellingShingle | Miguel Lourenço Varela Mihail Mogildea Ignacio Moreno Daniel Nunez From the Pharynx to the Abdomen: A Case of Primary Peritonitis Acta Médica Portuguesa Peritoneal Lavage Peritonitis Shock, Septic Streptococcus pyogenes Tonsillitis |
| title | From the Pharynx to the Abdomen: A Case of Primary Peritonitis |
| title_full | From the Pharynx to the Abdomen: A Case of Primary Peritonitis |
| title_fullStr | From the Pharynx to the Abdomen: A Case of Primary Peritonitis |
| title_full_unstemmed | From the Pharynx to the Abdomen: A Case of Primary Peritonitis |
| title_short | From the Pharynx to the Abdomen: A Case of Primary Peritonitis |
| title_sort | from the pharynx to the abdomen a case of primary peritonitis |
| topic | Peritoneal Lavage Peritonitis Shock, Septic Streptococcus pyogenes Tonsillitis |
| url | https://actamedicaportuguesa.com/revista/index.php/amp/article/view/10053 |
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