Primary peritonitis in previously healthy children

B. J. Freij, T. P. Votteler, G. H. McCracken

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

In a review of 22 years of clinical experience, we found seven previously healthy children with primary peritonitis. The diagnosis was made at laparotomy in all patients. Their symptoms included diffuse abdominal pain, fever, vomiting, and diarrhea. Abdominal tenderness was maximal in the right lower quadrant in five children, which led to confusion with the diagnosis of acute appendicitis. Streptococcus pneumoniae was identified as the etiologic agent in three patients and group A β-hemolytic Streptococcus in one patient. The remaining three patients all had prior antibiotic therapy, and peritoneal fluid cultures were sterile. All children had a prompt response to treatment with antibiotics and recovered without complications. Long-term follow-up (4 1/2 to 15 years) was available for three patients; all three remained healthy.

Original languageEnglish (US)
Pages (from-to)1058-1061
Number of pages4
JournalAmerican Journal of Diseases of Children
Volume138
Issue number11
StatePublished - 1984

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Peritonitis
Anti-Bacterial Agents
Ascitic Fluid
Appendicitis
Streptococcus pneumoniae
Streptococcus
Laparotomy
Abdominal Pain
Vomiting
Diarrhea
Fever
Therapeutics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Primary peritonitis in previously healthy children. / Freij, B. J.; Votteler, T. P.; McCracken, G. H.

In: American Journal of Diseases of Children, Vol. 138, No. 11, 1984, p. 1058-1061.

Research output: Contribution to journalArticle

Freij, B. J. ; Votteler, T. P. ; McCracken, G. H. / Primary peritonitis in previously healthy children. In: American Journal of Diseases of Children. 1984 ; Vol. 138, No. 11. pp. 1058-1061.
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