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  • Title: Primary peritonitis due to group A streptococcus.
    Author: Moskovitz M, Ehrenberg E, Grieco R, Chamovitz B, Burke M, Snyder D, Book M.
    Journal: J Clin Gastroenterol; 2000 Apr; 30(3):332-5. PubMed ID: 10777203.
    Abstract:
    Primary peritonitis is a rare condition occurring, by definition, in patients without underlying causes, such as perforated viscus, pre-existing ascites, or nephrosis. We report a case of primary peritonitis and shock due to group A beta-hemolytic streptococcus, a rare etiology. A review of the world's literature shows a predilection for women to have this condition. The entry site is obscure in most cases. Asymptomatic genital tract colonization may be a portal of entry in some women. Shock or toxic shock syndrome often accompany the abdominal findings. Laparotomy to exclude a perforated viscus may be unavoidable. Despite the significant morbidity, expeditious and appropriate antibiotic therapy is curative.
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