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Tuboovarian abscess and peritonitis caused by Streptococcus pneumoniae serotype 1 in young girls

A P Sirotnak1, S C Eppes, J D Klein

  • 1Department of Pediatrics, University of Colorado Health Sciences Center, Denver, USA.

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|June 1, 1996
PubMed

Insights

Primary pneumococcal peritonitis is rare in children. This study details three cases of peritonitis caused by Streptococcus pneumoniae serotype 1 in premenarchal girls, highlighting an unusual tropism for the female upper genital tract.

Area of Science:

  • Pediatric Infectious Diseases
  • Bacteriology
  • Gynecologic Infections

Background:

  • Streptococcus pneumoniae is a common cause of pediatric infections like pneumonia and meningitis.
  • Primary pneumococcal peritonitis is rare in children, typically linked to underlying conditions or upper genital tract disease in females.
  • Pneumococcal upper genital tract infections are highly unusual in premenarchal children.

Observation:

  • Three premenarchal girls presented with abdominal pain and toxic appearance, initially suspected as appendicitis.
  • All three patients were diagnosed with peritonitis caused by Streptococcus pneumoniae serotype 1.
  • Radiographic imaging revealed tuboovarian abscesses in each child.

Findings:

  • Streptococcus pneumoniae serotype 1, typically uncommon in pediatric pelvic disease, was identified as the causative agent.
  • Two of the three patients experienced complicated clinical courses.
  • All three children ultimately recovered from their infections.

Implications:

  • This case series suggests a potential tropism of Streptococcus pneumoniae serotype 1 for the female upper genital tract in premenarchal children.
  • Highlights the importance of considering rare pathogens and presentations in pediatric abdominal emergencies.
  • Contributes to understanding the epidemiology of pneumococcal serotypes in specific pediatric infections.

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