[Primary peritonitis in children with nephrotic syndrome]

The primitive peritonitis (PP) is one of the rare but severe complications of the nephrotic syndrome. Through a series of 25 children who suffer from a primitive peritonitis complicating or revealing a nephritic syndrome, we tried to analyse the epidemiological and bacteriological aspects of these peritonitis. The mean age of the children is 7 years old with neat male predominance (3 boys/1 girl). Two patients presented 2 episodes of PP. In 16% of the cases, the PP revealed a nephrotic syndrome. The isolated germs in our series are the Escherichia coli (45.5%) and the pneumococcus (36.5%), in 56% of the cases, the germ has not been identified. The precocious large use of probabilist antibiotherapy permitted a favourable evolution with nil rate of mortality.