This is a nephrectomized patient of 77 years, musician (saxophonist), in peritoneal dialysis, with diabetes, hypertension, and coronary disease. He presented a few months apart two successive episodes of peritonitis due to Streptococcus mitis/oralis and Streptococcus parasanguis. Before each episode he played the saxophone he played twice and each time he has peritonitis. Colonoscopy objectifying a sigmoid polyp. The assumption of self-contamination of the patient was supported by the fact that S. mitis/oralis and S. parasanguis are oral streptococci, and the intraperitoneal pressure (IPP) from 8 to 32 cm of water when the patient plays the saxophone. In this measurement of IPP we have also seen how the saliva is spread on all sides when playing the saxophone. Our patient is now cured and did not include the saxophone.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1684/abc.2012.0692 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Loculated Fluid Visualized in Hepatorenal Space with Point-of-care Ultrasound in Patient with Pelvic Inflammatory Disease Caused by Group A Streptococcus: Case Report.
Clin Pract Cases Emerg Med
November 2024
Mount Sinai Morningside-Mount Sinai West, Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York, New York.
Introduction: Point-of-care ultrasound (POCUS) is a screening and diagnostic modality frequently used in the emergency department to assess patients with abdominal pain.
Case Report: We present a case describing the unusual finding of intraperitoneal fluid with loculations visualized in the right upper quadrant of the abdomen in a patient ultimately diagnosed with pelvic inflammatory disease (PID) with ruptured tubo-ovarian abscess caused by group A streptococcus (GAS), a pathogen rarely implicated in the disease.
Conclusion: Uncommon findings on abdominal POCUS should trigger further investigation.
Primary Bacterial Peritonitis in a Young Man: A Rare Manifestation of Invasive Group A Streptococcal Infection.
Cureus
November 2024
Intensive Care Unit, Centre Hospitalier de Wallonie Picarde, Tournai, BEL.
Group A (GAS) is a ubiquitous pathogen responsible for a wide range of infections, from superficial to severe invasive forms (iGAS). Among these, primary bacterial peritonitis (PBP) due to GAS is a rare but severe presentation. Recent epidemiological data indicate a significant rise in iGAS cases globally, which may be linked to changes in post-pandemic pathogen circulation.
View Article and Find Full Text PDFThe "Silent" Threat: Group G Streptococcus Peritonitis in Peritoneal Dialysis.
Cureus
November 2024
Hospital Medicine, Cooper University Hospital, Camden, USA.
Peritoneal dialysis (PD) is a therapy for patients with end-stage renal disease (ESRD). PD carries an increased risk of peritonitis, often secondary to poor technique. A small subset of patients may present with "silent" peritonitis, or peritonitis in the absence of fever and abdominal pain, making diagnosis and treatment challenging.
View Article and Find Full Text PDF[Atypical spontaneous bacterial peritonitis linked to streptococcal toxic shock syndrome].
Dtsch Med Wochenschr
January 2025
Allgemein- und Viszeralchirurgie, HELIOS Klinik Attendorn: Akademisches Lehrkrankenhaus der Philipps-Universität Marburg, Attendorn, Deutschland.
Anamnesis And Clinical Examination: A 59-year-old female patient with an unremarkable medical history presented with watery diarrhea, severe lower abdominal pain, and fever for approximately 7 days. Physical examination revealed a distended abdomen, bowel sounds were absent, and there was an acute abdomen with generalized guarding and significantly elevated inflammatory markers.
Diagnosis: Abdominal computed tomography showed significant ascites and signs of peritonitis.
Pediatric invasive pneumococcal disease in Bolívar, Colombia: a descriptive cross-sectional study.
Infez Med
December 2024
Universidad de Cartagena, Cartagena, Bolívar, Colombia.
Introduction: Invasive pneumococcal disease (IPD) remains a pediatric health challenge despite national vaccination efforts in Colombia. We described the socio-demographic, epidemiological, and clinical characteristics of children (<18 years of age) with IPD at a pediatric reference center in Bolívar, Colombia.
Methods: Descriptive cross-sectional study of all pediatric patients (under 18 years of age) diagnosed with IPD between 2016 and 2023.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!