Pediatric Gastroenterology, Hepatology & Nutrition
- 제5권1호
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- Pages.83-87
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- 2002
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- 2234-8646(pISSN)
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- 2234-8840(eISSN)
건강한 소아에서 발생한 원발성 폐렴구균성 복막염 1례
Primary Pneumococcal Peritonitis in a Healthy Child
- 양정수 (경상대학교 의과대학 소아과학교실) ;
- 이민혜 (경상대학교 의과대학 소아과학교실) ;
- 최명범 (경상대학교 의과대학 소아과학교실) ;
- 박찬후 (경상대학교 의과대학 소아과학교실) ;
- 우향옥 (경상대학교 의과대학 소아과학교실) ;
- 윤희상 (경상대학교 의과대학 소아과학교실)
- Yang, Jeong-Soo (Department of Pediatrics, Gyeongsang National University College of Medicine) ;
- Lee, Min-Hae (Department of Pediatrics, Gyeongsang National University College of Medicine) ;
- Choi, Myoung-Bum (Department of Pediatrics, Gyeongsang National University College of Medicine) ;
- Park, Chan-Hoo (Department of Pediatrics, Gyeongsang National University College of Medicine) ;
- Woo, Hyang-Ok (Department of Pediatrics, Gyeongsang National University College of Medicine) ;
- Youn, Hee-Shang (Department of Pediatrics, Gyeongsang National University College of Medicine)
- 투고 : 2002.03.05
- 심사 : 2002.03.20
- 발행 : 2002.03.30
초록
Primary peritonitis usually refers to a bacterial infection of the peritoneal cavity without a demonstrable intra-abdominal source. Most cases occur in children with ascites resulting from nephrotic syndrome or cirrhosis. Rarely, it may occur in previously healthy children less than 7years of age, usually a girl. Distinguishing primary peritonitis from appendicitis may be impossible in patients without a history of nephrotic syndrome or cirrhosis. Accordingly, the diagnosis of primary peritonitis is made only at laparotomy. We report one case of primary pneumococcal peritonitis in a 27-month-old female who underwent explorative laparotomy to discover the cause of suspicious intestinal perforation and mechanical ileus. Later, pneumococci were cultured in blood and gram-positive diplococci were isolated from the pus of peritoneal cavity.