Mystery or misery? Primary group a streptococcal peritonitis in women: Case report

Michael Haap, Christian S. Haas, Reinhard Teichmann, Marius Horger, Armin Raible, Georg Lamprecht*

*Corresponding author for this work
9 Citations (Scopus)


Acute primary peritonitis in the absence of other comorbid conditions such as liver cirrhosis, immunosuppression, or nephrotic syndrome is a rare disorder in young adults. In women, ascending genital infections are thought to be a major pathogenic cause of this type of peritonitis. Pus was detected in the peritoneal cavity by abdominal paracentesis in a 27-year-old woman who had no predisposing features for severe peritonitis. Abdominal computed tomography showed perirectal edema. Laparotomy was performed, but no intra-abdominal focus of infection could be detected. The abdomen was irrigated via a subhepatic and retroperitoneal presacral approach, and broad-spectrum antibiotic therapy was started. Blood cultures revealed group A streptococci, usually a common cause of upper respiratory tract infections or erysipelas. Within a few days, the patient recovered completely and returned to normal life.

Original languageEnglish
JournalAmerican Journal of Critical Care
Issue number5
Pages (from-to)454-458
Number of pages5
Publication statusPublished - 01.09.2010


Dive into the research topics of 'Mystery or misery? Primary group a streptococcal peritonitis in women: Case report'. Together they form a unique fingerprint.

Cite this