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Primary group A streptococcal peritonitis

J C Graham1, P J Moss, M W McKendrick

  • 1Department of Infectious Diseases and Medicine, Royal Hallamshire Hospital, Sheffield, England.

Scandinavian Journal of Infectious Diseases
|January 1, 1995
PubMed
Summary
This summary is machine-generated.

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Primary peritonitis from Group A beta-haemolytic streptococci (GAS) is rare. This case highlights a previously healthy woman who recovered after treatment for GAS peritonitis, with potential transmission from her daughter.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Surgical Infections

Background:

  • Primary peritonitis, infection of the abdominal cavity without a clear surgical source, is uncommon.
  • Group A beta-haemolytic streptococci (GAS) are a rare cause of primary peritonitis, typically associated with underlying health conditions.

Observation:

  • A previously healthy young woman presented with symptoms of peritonitis.
  • Laparotomy revealed significant intra-peritoneal pus but no identifiable source of infection.
  • Group A beta-haemolytic streptococci (GAS) were isolated from the peritoneal fluid.

Findings:

  • The patient was successfully treated with intravenous benzylpenicillin, followed by oral amoxycillin.
  • The isolated GAS strain was serotyped as T3/M3/R3 (opacity factor negative).

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  • The same GAS serotype was identified in a throat swab from the patient's daughter, suggesting a potential transmission route.

    • Implications:

    • This case underscores the possibility of primary GAS peritonitis in immunocompetent individuals.
    • Understanding the epidemiology of invasive GAS disease is crucial for public health.
    • Further investigation into transmission dynamics of GAS in peritonitis cases is warranted.