[Intra-abdominal infections in adults caused by Streptococcus pneumoniae: report of 18 cases]

Autor:	Gasparotto AM; Universidad Nacional de Cordoba. Facultad de Ciencias Médicas. Departamento de Bacteriología. agasparotto@unc.edu.ar., Gianecini A; Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Hospital Nacional de Clínicas. Departamento de Bacteriología. gianecinir@gmail.com., Kasparian A; Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Hospital Nacional de Clínicas. Servicio de Cirugía 1.. kaspariandres@gmail.com., Kremer L; Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Hospital Nacional de Clínicas. Servicio de Infectología.. agasparotto@unc.edu.ar., Rocchi M; Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Hospital Nacional de Clínicas. Departamento de Bacteriología. rocchimarta@gmail.com., Quinteros Greco C; Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Hospital Nacional de Clínicas. Servicio de Infectología.. grecomartin@hotmail.com., Ocaña Carrizo AV; Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Hospital Nacional de Clínicas. Departamento de Bacteriología. avaleria1412@gmail.com., Navarro M; Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Hospital Nacional de Clínicas. Departamento de Bacteriología. mercena26@hotmail.com., Monterisi A; Universidad Nacional de Córdoba. Facultad de Ciencias Médicas. Hospital Nacional de Clínicas. Departamento de Bacteriología. aidamonterisi@gmail.com.
Jazyk:	Spanish; Castilian
Zdroj:	Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) [Rev Fac Cien Med Univ Nac Cordoba] 2022 Sep 16; Vol. 79 (3), pp. 280-284. Date of Electronic Publication: 2022 Sep 16.
DOI:	10.31053/1853.0605.v79.n3.36024
Abstrakt:	Introduction: Streptococcus pneumoniae (Spn) is occasionally implicated as a cause of intra-abdominal infection (IIASpn) that can be 1) spontaneous bacterial peritonitis (SBP) in elderly patients with previous peritoneal disease, associated with cirrhosis, in most of the cases 2) associated or adjacent to an intra-abdominal organ or postsurgical. (IIAbq) 3) peritonitis in previously healthy young women (PHYW). Our objective is report 18 cases of IIASpn describing: clinical presentation, comorbidities, need for surgery, microbiological findings, sensitivity of Spn to antimicrobials, therapeutic behavior, and evolution. Methods: study of 18 adult patients with IIASpn. Clinical and microbiological characteristics and evolution of infections were analyzed. Results: IIASpn occurred in 9 PHYW, 6 men and 1 woman with SBP, and 2 men with appendicitis. The PHYW were operated on (4 pelviperitonitis, 3 salpingitis, 2 and tubo ovarian abscess) and had a favorable evolution. In the intraoperative samples, pure culture of Spn sensitive to penicillin was isolated. Three of four patients had positive blood culture. Five of seven patients with SBP died and in the peritoneal fluid developed Spn in pure culture. A large percentage of strains presented decreased sensitivity to penicillin. Four of five had a positive blood culture. Patients with appendicitis had favorable evolution. Conclusions: IIASpn in PHYW was the most frequent presentation, surgery played a significant role in treatment and the clinical response was excellent. The second presentation occurred in elderly patients with cirrhosis, most of whom died. Appendicitis was the third presentation in patients who evolved favorably. (Universidad Nacional de Córdoba)
Databáze:	MEDLINE
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