건강한 소아에서 발생한 원발성 폐렴구균성 복막염 1례
Primary Pneumococcal Peritonitis in a Healthy Child
양정수, 이혜영, 최명범, 박찬후, 우향옥, 윤희상,
소속 상세정보
양정수 ( Yang Jeong-Soo )
경상대학교 의과대학 소아과학교실
이혜영 ( Lee Min-Hae )
경상대학교 의과대학 소아과학교실
최명범 ( Choi Myoung-Bum )
경상대학교 의과대학 소아과학교실
박찬후 ( Park Chan-Hoo )
경상대학교 의과대학 소아과학교실
우향옥 ( Woo Hyang-Ok )
경상대학교 의과대학 소아과학교실
윤희상 ( Youn Hee-Sang )
경상대학교 의과대학 소아과학교실
KMID : 0816120020050010083
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.
키워드
Primary pneumococcal peritonitis
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