The diagnostic and therapeutic challenges of Spontaneous Bacterial Peritonitis in a low income country: A case report
Journal Title: Journal of Medical Biomedical and Applied Sciences - Year 2017, Vol 5, Issue 8
Abstract
Background: Spontaneous bacterial peritonitis is an uncommon condition. It has a non-specific clinical presentation which leading sometimes to an unnecessary laparotomy especially in a low income country. Case presentation: We received a 19-months old child, with an unremarkable past medical history, admitted in our service for a 2-day history of abdominal distension and fever. She presented with guarding and abdominal tenderness. Abdominal ultrasound revealed a peritoneal effusion and signs of intestinal occlusion without obstacle to peristalsis. A blood culture revealed Streptococcus sp as etiology and we made a diagnosis of spontaneous bacterial peritonitis. The patient recovered after medical treatment. Conclusion: Spontaneous bacterial peritonitis is a possible diagnosis that clinicians should bear in mind during investigation of an acute abdomen. Accurate initial diagnosis can avert unnecessary surgery, since treatment is medical.
Authors and Affiliations
Jan René Nkeck Aurelie T. Sibetcheu, F. T. A. Endomba, S. F Fru. , A. Chiabi
Keywords
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- EP ID EP313106
- DOI 10.15520/.v5i08.73
- Views 82
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