Paediatric Primary Peritonitis: A Rare Entity among Immunocompetent Individuals Rearing Its Head again during this COVID-19 Pandemic Era
Hidhaya Selvan Ramakrishnan, Aatikah Rashidah, Nur Bazlaah Bahari, Vethunan Tamalvanan, Khairuzi Salekan
Asian Journal of Case Reports in Surgery · pp. 785–791 · Published 28 Dec 2021
Abstract
Primary peritonitis is a unique entity that has taken backstage in terms of incidence in recent years, especially in those immunocompetent individuals. Here, we present the case of a young 6-year-old girl that presented to the emergency room with generalised abdominal pain and Class II septic shock. The patient had then undergone laparotomy, prophylactic appendicectomy and peritoneal lavage. Diagnosis of primary peritonitis was then subsequently made, and the patient had completed a broad-spectrum antibiotic course and recovered well. The discussion reviews the impact of lockdown imposed in view COVID-19 infection in terms of delay in seeking medical treatment, the pathogenesis of the primary peritonitis, and different management modalities.
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