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Korean J Pediatr Gastroenterol Nutr. 2002 Mar;5(1):83-87. Korean.
Published online Mar 31, 2002.  https://doi.org/10.5223/kjpgn.2002.5.1.83
Copyright © 2002 The Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition
Primary Pneumococcal Peritonitis in a Healthy Child
Jeong Soo Yang, Min Hae Lee, Myoung Bum Choi, Chan Hoo Park, Hyang Ok Woo and Hee Shang Youn
Department of Pediatrics, Gyeongsang National University College of Medicine, Jinju, Korea.
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 7 years 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.

Keywords: Primary pneumococcal peritonitis