From the Pharynx to the Abdomen: A Case of Primary Peritonitis

Detalhes bibliográficos
Autor(a) principal: Varela, Miguel Lourenço
Data de Publicação: 2018
Outros Autores: Mogildea, Mihail, Moreno, Ignacio, Nunez, Daniel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053
Resumo: Primary peritonitis usually occurs in patients with comorbidities previously diagnosed with ascites. However, a primary peritoneal infection in previously healthy patients may also ensue. There has been an increase in reported cases of primary peritonitis due to Streptococcus pyogenes affecting mostly women. It usually presents as a severe acute abdominal pain, which prompts surgical exploration. Although infected ascitic fluid is seen, there is no rupture. In this article, we present a case of primary peritonitis due to Streptococcus pyogenes which rapidly evolved to septic shock and acute respiratory distress syndrome. The abdominal and pelvic computed tomography at admission showed no ascitic fluid. However, a few hours later, during surgical exploration, purulent ascitic fluid was seen throughout the abdominal cavity. It is important to be aware of this rapid accumulation of ascitic fluid, even without visceral perforation, as peritoneal lavage may be warranted to contain the infection.
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spelling From the Pharynx to the Abdomen: A Case of Primary PeritonitisDa Faringe para o Abdómen: Um Caso de Peritonite PrimáriaPeritoneal LavagePeritonitisShockSepticStreptococcus pyogenesTonsillitisChoque SépticoLavagem PeritonealPeritoniteStreptococcus pyogenesTonsilitePrimary peritonitis usually occurs in patients with comorbidities previously diagnosed with ascites. However, a primary peritoneal infection in previously healthy patients may also ensue. There has been an increase in reported cases of primary peritonitis due to Streptococcus pyogenes affecting mostly women. It usually presents as a severe acute abdominal pain, which prompts surgical exploration. Although infected ascitic fluid is seen, there is no rupture. In this article, we present a case of primary peritonitis due to Streptococcus pyogenes which rapidly evolved to septic shock and acute respiratory distress syndrome. The abdominal and pelvic computed tomography at admission showed no ascitic fluid. However, a few hours later, during surgical exploration, purulent ascitic fluid was seen throughout the abdominal cavity. It is important to be aware of this rapid accumulation of ascitic fluid, even without visceral perforation, as peritoneal lavage may be warranted to contain the infection.A peritonite primária geralmente ocorre em doentes com co-morbilidades previamente diagnosticados com ascite. Pode também ocorrer num doente previamente saudável. Recentemente, tem havido um número crescente de relatos de peritonite primária por Streptococcus pyogenes, com maior incidência nas mulheres. Nestes casos, geralmente ocorre dor abdominal aguda e intensa, que motiva intervenção cirúrgica urgente, constatando-se posteriormente não haver ruptura de víscera oca, embora haja líquido ascítico purulento. Neste artigo, descrevemos um caso de peritonite primária por Streptococcus pyogenes, que evoluiu rapidamente para choque séptico e síndrome de dificuldade respiratória aguda. Embora a tomografia computorizada inicial não tenha revelado líquido ascítico, algumas horas após, durante o ato cirúrgico, observou-se líquido ascítico purulento em grande quantidade. Esta rápida acumulação de líquido purulento na cavidade abdominal, mesmo sem perfuração de víscera oca, deverá ser rapidamente reconhecida, sendo que a lavagem peritoneal poderá vir a ser uma opção para conter o foco de infeção.Ordem dos Médicos2018-12-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfimage/jpegimage/pngapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053oai:ojs.www.actamedicaportuguesa.com:article/10053Acta Médica Portuguesa; Vol. 31 No. 12 (2018): December; 774-777Acta Médica Portuguesa; Vol. 31 N.º 12 (2018): Dezembro; 774-7771646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053/5559https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053/9866https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053/9867https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053/9868https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053/9869https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053/10202Direitos de Autor (c) 2018 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessVarela, Miguel LourençoMogildea, MihailMoreno, IgnacioNunez, Daniel2022-12-20T11:05:52Zoai:ojs.www.actamedicaportuguesa.com:article/10053Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:47.229424Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv From the Pharynx to the Abdomen: A Case of Primary Peritonitis
Da Faringe para o Abdómen: Um Caso de Peritonite Primária
title From the Pharynx to the Abdomen: A Case of Primary Peritonitis
spellingShingle From the Pharynx to the Abdomen: A Case of Primary Peritonitis
Varela, Miguel Lourenço
Peritoneal Lavage
Peritonitis
Shock
Septic
Streptococcus pyogenes
Tonsillitis
Choque Séptico
Lavagem Peritoneal
Peritonite
Streptococcus pyogenes
Tonsilite
title_short From the Pharynx to the Abdomen: A Case of Primary Peritonitis
title_full From the Pharynx to the Abdomen: A Case of Primary Peritonitis
title_fullStr From the Pharynx to the Abdomen: A Case of Primary Peritonitis
title_full_unstemmed From the Pharynx to the Abdomen: A Case of Primary Peritonitis
title_sort From the Pharynx to the Abdomen: A Case of Primary Peritonitis
author Varela, Miguel Lourenço
author_facet Varela, Miguel Lourenço
Mogildea, Mihail
Moreno, Ignacio
Nunez, Daniel
author_role author
author2 Mogildea, Mihail
Moreno, Ignacio
Nunez, Daniel
author2_role author
author
author
dc.contributor.author.fl_str_mv Varela, Miguel Lourenço
Mogildea, Mihail
Moreno, Ignacio
Nunez, Daniel
dc.subject.por.fl_str_mv Peritoneal Lavage
Peritonitis
Shock
Septic
Streptococcus pyogenes
Tonsillitis
Choque Séptico
Lavagem Peritoneal
Peritonite
Streptococcus pyogenes
Tonsilite
topic Peritoneal Lavage
Peritonitis
Shock
Septic
Streptococcus pyogenes
Tonsillitis
Choque Séptico
Lavagem Peritoneal
Peritonite
Streptococcus pyogenes
Tonsilite
description Primary peritonitis usually occurs in patients with comorbidities previously diagnosed with ascites. However, a primary peritoneal infection in previously healthy patients may also ensue. There has been an increase in reported cases of primary peritonitis due to Streptococcus pyogenes affecting mostly women. It usually presents as a severe acute abdominal pain, which prompts surgical exploration. Although infected ascitic fluid is seen, there is no rupture. In this article, we present a case of primary peritonitis due to Streptococcus pyogenes which rapidly evolved to septic shock and acute respiratory distress syndrome. The abdominal and pelvic computed tomography at admission showed no ascitic fluid. However, a few hours later, during surgical exploration, purulent ascitic fluid was seen throughout the abdominal cavity. It is important to be aware of this rapid accumulation of ascitic fluid, even without visceral perforation, as peritoneal lavage may be warranted to contain the infection.
publishDate 2018
dc.date.none.fl_str_mv 2018-12-28
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dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053
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url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053
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dc.language.iso.fl_str_mv eng
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053/5559
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053/9866
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053/9867
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053/9868
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053/9869
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10053/10202
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2018 Acta Médica Portuguesa
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2018 Acta Médica Portuguesa
eu_rights_str_mv openAccess
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application/pdf
application/pdf
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image/png
application/pdf
dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 31 No. 12 (2018): December; 774-777
Acta Médica Portuguesa; Vol. 31 N.º 12 (2018): Dezembro; 774-777
1646-0758
0870-399X
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