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Pneumococcal peritonitis in adolescent girls.

A C McFarlane, L K Hamra, E Reiss-Levy

    The Medical Journal of Australia
    |February 10, 1979
    PubMed
    Summary

    Two adolescent girls developed pneumococcal peritonitis caused by a tetracycline-resistant Streptococcus pneumoniae strain. This highlights a rare but serious infection in otherwise healthy young females.

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    Area of Science:

    • Infectious Diseases
    • Microbiology
    • Pediatric Medicine

    Background:

    • Pneumococcal peritonitis is a rare but serious infection, often associated with underlying conditions like liver disease or nephrotic syndrome.
    • While typically seen in younger children or immunocompromised individuals, spontaneous pneumococcal peritonitis can occur in healthy adolescents.

    Observation:

    • This report details two distinct cases of pneumococcal peritonitis in previously healthy adolescent females presenting after puberty.
    • Both patients were admitted with symptoms suggestive of acute abdominal pathology.

    Findings:

    • In both cases, the causative agent was identified as Streptococcus pneumoniae (pneumococcus).
    • Crucially, the infecting pneumococcus strain in both patients was resistant to tetracycline, a common antibiotic.
    • The infection was specifically linked to a Type 1 pneumococcal strain.

    Implications:

    • These cases underscore the importance of considering pneumococcal peritonitis in the differential diagnosis of acute abdomen in adolescent females.
    • The identification of tetracycline-resistant strains necessitates careful antibiotic selection and susceptibility testing for effective treatment.
    • Further surveillance may be warranted to understand the epidemiology of resistant pneumococcal infections in this demographic.

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