Primary pneumococcal peritonitis with a fulminant course

Primary pneumococcal peritonitis in the nephrotic syndrome.

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Pneumococcal Peritonitis

Pneumococcal Peritonitis

now made. In the afternoon the abdomen was opened below the umbilicus; the peritoneal cavity contained a fair amount of sero-purulent fluid, and the intestines were intensely congested and coated with thick lymph. The appendix shared in the general inflammation and it was removed; the tubes and ovaries examined?the left ovary was slightly enlarged and cystic. A careful search was next made of t...

Native aortic valve pneumococcal endocarditis - fulminant presentation

Pneumococcal endocarditis is a rare entity, corresponding to 1 to 3% of native valve endocarditis cases. It has a typically adverse prognosis, with high mortality. There is a reported predilection for the aortic valve; thus, a common presentation is acute left heart failure. We present a case of a 60-year-old woman with a history of sinusitis, who was admitted with the diagnosis of pneumonia. S...

Protecting asplenic individuals from fulminant pneumococcal disease.

In this issue of Eurosurveillance, Chironna et al. report on an unfortunate death of an asplenic individual with fulminant pneumococcal sepsis [1]. Whether or not the death of this particular individual could have been avoided with active preventive interventions remains unanswered. It does, however, raise the alert to revisit the preventive guidelines of asplenic patients in general, and need ...