RESUMO
Primary peritonitis, a bacterial infection within the peritoneal cavity that arises in the absence of an intraperitoneal source, is a rare entity in paediatrics. We describe the case of a previously healthy 11-year-old girl who presented with an acute abdomen and was found to have primary peritonitis due to Streptococcus pyogenes She had an episode of pharyngitis with pharyngeal cultures positive for S. pyogenes in the month prior to presentation. We performed a review of the literature to better elucidate the risk factors, pathophysiology and presentation of peritonitis due to S. pyogenes and to draw attention to the potential association between group A streptococcal pharyngitis and peritonitis.
Assuntos
Abdome Agudo/cirurgia , Combinação Amoxicilina e Clavulanato de Potássio/uso terapêutico , Antibacterianos/uso terapêutico , Peritonite/patologia , Faringite/diagnóstico , Infecções Estreptocócicas/complicações , Streptococcus pyogenes/isolamento & purificação , Abdome Agudo/microbiologia , Apendicectomia , Criança , Feminino , Humanos , Cavidade Peritoneal , Peritonite/microbiologia , Peritonite/cirurgia , Faringite/complicações , Resultado do TratamentoRESUMO
The pediatric hospitalist program at the Children's Hospital of Pittsburgh (CHP)-the Diagnostic Referral Service (DRS)-was first described in the pediatric literature in 1988. At that time, the group consisted of 5 members with a variety of inpatient and outpatient responsibilities. Since then, there has been a significant nationwide growth in pediatric hospital medicine. In the same time frame, the DRS has also grown significantly, with new and enhanced responsibilities in both the inpatient and outpatient settings. This work reflects on the recent trends in pediatrics that resulted in the growth of specialists in hospital medicine and in the evolution of the DRS responsibilities. A detailed description of the unique changes in the DRS is provided as a model for effective care of children in the modern era.
Assuntos
Serviços de Diagnóstico/estatística & dados numéricos , Hospitais Pediátricos , Encaminhamento e Consulta/estatística & dados numéricos , Serviços de Diagnóstico/história , História do Século XX , História do Século XXI , Humanos , Comunicação Interdisciplinar , Pennsylvania , Encaminhamento e Consulta/históriaAssuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Exame Físico/métodos , Pediatria , Atlas como AssuntoRESUMO
Liver transplantation has been developed to the point of a service operation, the exploitation of which depends upon the establishment of multiple regional centers. The increased use of this procedure will permit the delivery of optimum health care to victims of end stage liver disease.
