Primary Peritonitis In Children. Most of them had been healthy prior to the onset of peritonitis and only one had nephrotic syndrome. It is also referred to as spontaneous peritonitis idiopathic peritonitis or spontaneous ascitic fluid infection. Broad spectrum coverage is warranted. During the last 15 years at two childrens hospitals the authors have treated a total of 25 infants and children with primary peritonitis excluding those with cirrhosis nephrosis or a neurosurgical ventriculoperitoneal shunt.
Primary peritonitis is rare condition in children. Primary peritonitis is caused by the spread of an infection from the blood and lymph nodes to the peritoneum Secondary peritonitis is the more common type of peritonitis happens when the infection comes into the peritoneum from the gastrointestinal or biliary tract 6. From 1970 through 1979 19 children were diagnosed to have primary peritonitis accounting for 36 of all the acute abdominal emergencies. Spontaneous Bacterial Peritonitis. Primary peritonitis is a well-described infectious complication of nephrotic syndrome. Abdominal puncture was performed in three cases.
Nohr CW Marshall DG.
All of the cases occurred in females seven pneumococcic and four streptococcic. PMN count 250 cellsmm3 warrant empiric IV antibiotics. In all the patients the diagnosis could be established only after laparotomy as the clinical and radiological features were not unique. Primary peritonitis in children. It is also referred to as spontaneous peritonitis idiopathic peritonitis or spontaneous ascitic fluid infection. Primary idiopathic or metastatic peritonitis has always been associated with a very high mortality rate in infants and children.