ABSTRACT
INTRODUCTION: Primary peritonitis is rare condition in children previously healthy. It is often related to cirrosis and kidney disease or peritoneal dyalisis. The diagnosis must be made at laparotomy in the absence of intraabdominal findings and positive cultures of peritoneal fluids. MATERIALS AND METHODS: Two cases were studied. Both cases were diagnosed during surgery and had positive cultures for streptococcus pneumaniae, recovery was rapid with broad-spectrum antibiotic therapy in peritonitis caused by gram positives cocos. CONCLUSION: Recent reports indicate an increase of primary peritonitis caused by gram negative organims specially by neumococo. It seems to be a rising of the pathology since the massive antineumococcical vaccinacion. The prognosis has improved with the correct therapy but its incidence appears unvarying.
Subject(s)
Peritonitis/microbiology , Pneumococcal Infections , Streptococcus pneumoniae/isolation & purification , Anti-Bacterial Agents/therapeutic use , Child , Child, Preschool , Female , Humans , Male , Peritonitis/drug therapy , Peritonitis/surgery , Pneumococcal Infections/therapy , Pneumococcal Vaccines/adverse effectsABSTRACT
Emiliano tiene 7 años y viene a la consulta por presentar una enuresis nocturna primaria, y de tiempoen tiempo, tics. nació de un embarazo de 8 meses y pesó 2500g. Las pautas psicomotrices se desarrollaron connormalidad. Cuando él tenía 3 años nació su hermana: reaccionó con celos, envidia y actitudes agresivas. Esun niño muy sobreprotegido y egocéntrico que le ha costado mucho adaptarse a la escolaridad. La madre es de una personalidad inestable, haestado en tratamiento antidepresivo y vive con mucha angustia la anorexia de otro de sus hijos. El médico pediatra se plantea, ¿cuál será el tratamiento másefectivo para el niño? ¿La psicoterapia o el tratamiento farmacológico con desmopresina?
