Table of Contents Author Guidelines Submit a Manuscript
Canadian Journal of Infectious Diseases and Medical Microbiology
Volume 23 (2012), Issue 3, Pages e69-e70
http://dx.doi.org/10.1155/2012/105850
Case Report

Primary Peritonitis due to Group A Streptococcus in a Previously Healthy Pediatric Patient

R Holden,1 A Wilmer,2 and T Kollman3

1Department of Internal Medicine, University of British Columbia, Vancouver, British Columbia, Canada
2Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, British Columbia, Canada
3Department of Pediatrics, Division of Infectious and Immunological Diseases, University of British Columbia, Vancouver, British Columbia, Canada

Copyright © 2012 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Primary peritonitis remains a rare disease in otherwise healthy children, with group A Streptococcus (GAS) being a particularly unusual cause. A case involving a 14-year-old girl, who presented with an ‘acute abdomen’ and was taken to the operating room for urgent laparoscopy, is reported. Abdominal and pelvic structures were only minimally inflamed, as was the appendix. Peritoneal fluid and blood cultures both grew pure cultures of GAS. The patient’s course was complicated by streptococcal toxic shock syndrome. She fortunately made a full recovery. The present report highlights the diagnostic and treatment dilemmas associated with GAS primary peritonitis.