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Case Report

Primary Peritonitis Secondary to Streptococcus pyogenes in a Young Female Adult—A Case Report and Literature Review

1
Yong Loo Lin School of Medicine, National University of Singapore, Singapore 117597, Singapore
2
Department of Surgery, National University Hospitals, Singapore 119228, Singapore
3
Department of Surgery, Woodlands Health Campus, Singapore 768024, Singapore
4
Department of Surgery, Tan Tock Seng Hospital, Singapore 308433, Singapore
*
Author to whom correspondence should be addressed.
Infect. Dis. Rep. 2021, 13(1), 26-32; https://doi.org/10.3390/idr13010005
Received: 28 October 2020 / Revised: 15 December 2020 / Accepted: 15 December 2020 / Published: 1 January 2021
Primary spontaneous bacterial peritonitis (SBP) is a rare cause of acute abdomen in previously healthy patients, even more unusually caused by a group A Streptococcus (GAS) (also known as Streptococcus pyogenes) infection. We report a young, otherwise healthy female who presented with generalized abdominal pain that was initially managed conservatively as gastroenteritis, with a computed tomography (CT) scan showing a ruptured corpus luteal cyst. Upon subsequent readmission with worsened pain and symptoms, a repeat CT scan showed worsened free fluid with signs of peritonitis. A diagnostic laparoscopy confirmed primary peritonitis with an unknown infection source and causative pathology, as the appendix, ovaries and bowels were healthy-looking. Fluid cultures returned positive for GAS Pyogenes, while blood and urine cultures were negative. The discussion reviews the challenges in diagnosis and treatment of GAS primary peritonitis, highlighting the need for clinical suspicion, early diagnosis via laparoscopy or laparotomy and prompt antibiotic therapy as the current standard for treatment. View Full-Text
Keywords: primary peritonitis; spontaneous bacterial peritonitis; streptococcus pyogenes; group A streptococcus; acute abdomen; infective ascites; ascitic fluid; bacterial translocation primary peritonitis; spontaneous bacterial peritonitis; streptococcus pyogenes; group A streptococcus; acute abdomen; infective ascites; ascitic fluid; bacterial translocation
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MDPI and ACS Style

Aw, A.E.Y.; Lee, J.W.K.; Tay, K.V. Primary Peritonitis Secondary to Streptococcus pyogenes in a Young Female Adult—A Case Report and Literature Review. Infect. Dis. Rep. 2021, 13, 26-32. https://doi.org/10.3390/idr13010005

AMA Style

Aw AEY, Lee JWK, Tay KV. Primary Peritonitis Secondary to Streptococcus pyogenes in a Young Female Adult—A Case Report and Literature Review. Infectious Disease Reports. 2021; 13(1):26-32. https://doi.org/10.3390/idr13010005

Chicago/Turabian Style

Aw, Avelyn E.Y., James W.K. Lee, and Kon V. Tay. 2021. "Primary Peritonitis Secondary to Streptococcus pyogenes in a Young Female Adult—A Case Report and Literature Review" Infectious Disease Reports 13, no. 1: 26-32. https://doi.org/10.3390/idr13010005

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