Corredera Laura Valeria, Daruich Maria Laura, Diaz Juan Ignacio, Cuestas Eduardo
Servicio de Pediatría, Hospital Privado de Córdoba, Naciones Unidas 346, Córdoba, Argentina.
Rev Fac Cien Med Univ Nac Cordoba. 2007;64(4):127-31.
Primary peritonitis is rare condition in children previously healthy. It is often related to cirrosis and kidney disease or peritoneal dyalisis. The diagnosis must be made at laparotomy in the absence of intraabdominal findings and positive cultures of peritoneal fluids.
Two cases were studied. Both cases were diagnosed during surgery and had positive cultures for streptococcus pneumaniae, recovery was rapid with broad-spectrum antibiotic therapy in peritonitis caused by gram positives cocos.
Recent reports indicate an increase of primary peritonitis caused by gram negative organims specially by neumococo. It seems to be a rising of the pathology since the massive antineumococcical vaccinacion. The prognosis has improved with the correct therapy but its incidence appears unvarying.
原发性腹膜炎在既往健康的儿童中较为罕见。它常与肝硬化、肾脏疾病或腹膜透析有关。在没有腹腔内病变且腹腔积液培养呈阳性的情况下，必须通过剖腹手术进行诊断。
研究了两例病例。两例均在手术中确诊，肺炎链球菌培养呈阳性，对于革兰氏阳性球菌引起的腹膜炎，采用广谱抗生素治疗后恢复迅速。
最近的报告表明，由革兰氏阴性菌特别是肺炎球菌引起的原发性腹膜炎有所增加。自大规模接种抗肺炎球菌疫苗以来，这种病理情况似乎有所上升。正确的治疗改善了预后，但其发病率似乎没有变化。
