Abstract
Two women, aged 31 and 37 years, had abdominal pain and fever several months after giving birth and a few weeks after receiving an intrauterine device. Both patients were admitted and treated under the working diagnosis of pelvic inflammatory disease (PID). They appeared to have pneumococcal adnexitis and pneumococcal peritonitis. Both patients recovered after initiating directed antibiotic treatment. Peritonitis in previously healthy adults is seldom caused by pneumococci. Standard antibiotics that are effective when given empirically for PID may be a suboptimal treatment for pneumococcal peritonitis.
| Translated title of the contribution | Two adult patients with pneumococcal peritonitis |
|---|---|
| Original language | Dutch |
| Pages (from-to) | 2047-2050 |
| Number of pages | 4 |
| Journal | Nederlands Tijdschrift voor Geneeskunde |
| Volume | 150 |
| Issue number | 37 |
| Publication status | Published - 16 Sept 2006 |
| Externally published | Yes |
Keywords
- Abdominal Pain/microbiology
- Adult
- Anti-Bacterial Agents/therapeutic use
- Female
- Humans
- Intrauterine Devices/adverse effects
- Pelvic Inflammatory Disease/diagnosis
- Peritonitis/diagnosis
- Pneumococcal Infections/diagnosis
- Postpartum Period
- Treatment Outcome
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