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  • Title: [Primary peritonitis in children. Apropos of 12 case reports].
    Author: Janati R, Takvorian P, Dodat H, Chappuis JP.
    Journal: Chir Pediatr; 1986; 27(4):201-4. PubMed ID: 3545516.
    Abstract:
    Primary peritonitis is rare condition in children. Twelve cases in previously healthy children is reported. The diagnosis was made at laparotomy in the absence of intra-abdominal findings, such as intestinal perforation. Organisms was isolated from peritoneal fluid in 7 cases, Staphylococcus aureus in 3, Streptococcus pneumoniae in 2, beta-hemolytic Streptococcus and E. coli in 1. Peritoneal fluid cultures were sterile in 5 cases, Streptococcus pneumoniae was otherwise incriminated in 2 cases. Recovery was rapid with broad-spectrum antibiotic therapy in 11 cases. One death in an infant was related to late intervention. Recent reports indicate an increase of primary peritonitis caused by gram-negative organisms. The prognosis has improved since the use of antibiotics, but its incidence appears unvarying.
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