• Internal medicine · May 2024

    Case Reports

    Primary Peritonitis due to Group A Streptococcus Successfully Treated with Intraperitoneal Drainage.

    • Yoshihide Matsumoto, Akiko Shimizu, Kento Ogawa, Shigenobu Kuroki, Kozo Ikuta, Eri Senda, Hiroki Kagawa, and Seiji Shio.
    • Division of Gastroenterology, Shinko Hospital, Japan.
    • Intern. Med. 2024 May 1; 63 (9): 122912351229-1235.

    AbstractA 42-year-old woman was admitted to our hospital because of lower abdominal pain and diarrhea. Although the initial symptoms and imaging findings were similar to those of acute enteritis, blood and ascites cultures led to the diagnosis of primary peritonitis caused by group A Streptococcus. In many cases, the disease rapidly deteriorates, and laparotomy is performed for the early diagnosis and to reduce the number of bacteria in the abdominal cavity. In the present case, intraperitoneal drainage was effective for avoiding surgery. We suggest that intraperitoneal drainage is effective for the treatment of this disease.

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