Streptococcus pyogenes primary peritonitis

BMJ Case Rep. 2018 Mar 27:2018:bcr2017223890. doi: 10.1136/bcr-2017-223890.

Abstract

Streptococcus pyogenes, a Gram-positive bacterium, is a rare cause of primary peritonitis. Diagnosed on imaging and with positive growth in blood cultures, a case of primary peritonitis caused by S. pyogenes is discussed here, with a brief literature review, and used to discuss several key principles of antibiotic use, including selection of antibiotic, investigations and non-pharmacological management of infection.

Keywords: hepatitis and other GI infections; infection (gastroenterology).

Publication types

  • Case Reports

MeSH terms

  • Amoxicillin / therapeutic use
  • Anti-Bacterial Agents / therapeutic use*
  • Clavulanic Acid / therapeutic use
  • Clindamycin / therapeutic use
  • Diagnosis, Differential
  • Female
  • Humans
  • Middle Aged
  • Penicillanic Acid / analogs & derivatives
  • Penicillanic Acid / therapeutic use
  • Penicillin G / therapeutic use
  • Peritonitis / diagnostic imaging
  • Peritonitis / drug therapy*
  • Peritonitis / etiology*
  • Piperacillin / therapeutic use
  • Streptococcal Infections / complications*
  • Streptococcal Infections / diagnosis
  • Streptococcal Infections / drug therapy*
  • Streptococcus pyogenes / isolation & purification*
  • Tazobactam
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Clavulanic Acid
  • Clindamycin
  • Amoxicillin
  • Penicillanic Acid
  • Penicillin G
  • Tazobactam
  • Piperacillin