Pediatric Gastroenterology, Hepatology & Nutrition

The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition (대한소아소화기영양학회)
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Primary Pneumococcal Peritonitis in a Healthy Child

건강한 소아에서 발생한 원발성 폐렴구균성 복막염 1례

  • Yang, Jeong-Soo (Department of Pediatrics, Gyeongsang National University College of Medicine) ;
  • Lee, Min-Hae (Department of Pediatrics, Gyeongsang National University College of Medicine) ;
  • Choi, Myoung-Bum (Department of Pediatrics, Gyeongsang National University College of Medicine) ;
  • Park, Chan-Hoo (Department of Pediatrics, Gyeongsang National University College of Medicine) ;
  • Woo, Hyang-Ok (Department of Pediatrics, Gyeongsang National University College of Medicine) ;
  • Youn, Hee-Shang (Department of Pediatrics, Gyeongsang National University College of Medicine)
  • 양정수 (경상대학교 의과대학 소아과학교실) ;
  • 이민혜 (경상대학교 의과대학 소아과학교실) ;
  • 최명범 (경상대학교 의과대학 소아과학교실) ;
  • 박찬후 (경상대학교 의과대학 소아과학교실) ;
  • 우향옥 (경상대학교 의과대학 소아과학교실) ;
  • 윤희상 (경상대학교 의과대학 소아과학교실)
  • Received : 2002.03.05
  • Accepted : 2002.03.20
  • Published : 2002.03.30
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Abstract

Primary peritonitis usually refers to a bacterial infection of the peritoneal cavity without a demonstrable intra-abdominal source. Most cases occur in children with ascites resulting from nephrotic syndrome or cirrhosis. Rarely, it may occur in previously healthy children less than 7years of age, usually a girl. Distinguishing primary peritonitis from appendicitis may be impossible in patients without a history of nephrotic syndrome or cirrhosis. Accordingly, the diagnosis of primary peritonitis is made only at laparotomy. We report one case of primary pneumococcal peritonitis in a 27-month-old female who underwent explorative laparotomy to discover the cause of suspicious intestinal perforation and mechanical ileus. Later, pneumococci were cultured in blood and gram-positive diplococci were isolated from the pus of peritoneal cavity.

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