{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T02:17:38Z","timestamp":1768443458610,"version":"3.49.0"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Primary group A streptococcal peritonitis (PSAP) is a rare, fulminant and often fatal infection. The clinical manifestations include diffuse peritoneal signs with toxic shock syndrome and sometimes fasciitis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Patients with PSAP diagnosed between December 2002 and December 2006 were studied retrospectively, focusing on the initial presentation, diagnosis, treatment and outcome.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Six patients were identified (five women and one man). The clinical presentation was heterogeneous. All six patients had diffuse peritonitis, four had toxic shock syndrome on hospital admission and two patients also had fasciitis. All patients were treated surgically, and the final diagnosis was confirmed after operation. There were no deaths, but two patients had aesthetic sequelae owing to necrotizing fasciitis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>PSAP is a rare condition, often requiring aggressive surgical treatment. Group A streptococcal peritonitis should be suspected in patients with no radiological evidence of a peritoneal portal of entry and no history of ascites.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.6822","type":"journal-article","created":{"date-parts":[[2009,12,10]],"date-time":"2009-12-10T12:51:12Z","timestamp":1260449472000},"page":"104-108","source":"Crossref","is-referenced-by-count":26,"title":["Diagnosis and treatment of spontaneous group A streptococcal peritonitis"],"prefix":"10.1093","volume":"97","author":[{"given":"O","family":"Monneuse","sequence":"first","affiliation":[{"name":"Universit\u00e9 Lyon 1, Facult\u00e9 Laennec, and Emergency and Trauma Surgical Department, Hospices Civils de Lyon , Lyon,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E","family":"Tissot","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Lyon 1, Facult\u00e9 Laennec, and Emergency and Trauma Surgical Department, Hospices Civils de Lyon , Lyon,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Gruner","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Lyon 1, Facult\u00e9 Laennec, and Emergency and Trauma Surgical Department, Hospices Civils de Lyon , Lyon,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Michaillard Kaempf","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Lyon 1, Facult\u00e9 Laennec, and Emergency and Trauma Surgical Department, Hospices Civils de Lyon , Lyon,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Allaouchiche","sequence":"additional","affiliation":[{"name":"Surgical Critical Care Unit, Hospices Civils de Lyon , Lyon,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Etienne","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Lyon 1, Facult\u00e9 Laennec, and Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale U851 , Lyon, and , Bron,","place":["France"]},{"name":"Centre de Biologie Est, Hospices Civils de Lyon , Lyon, and , Bron,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"X","family":"Barth","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Lyon 1, Facult\u00e9 Laennec, and Emergency and Trauma Surgical Department, Hospices Civils de Lyon , Lyon,","place":["France"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2010,1,1]]},"reference":[{"key":"2024093006392838700_bib1","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1086\/514940","article-title":"Spontaneous bacterial peritonitis","volume":"27","author":"Such","year":"1998","journal-title":"Clin Infect Dis"},{"key":"2024093006392838700_bib2","first-page":"513","article-title":"Primary peritonitis","volume":"135","author":"Golden","year":"1972","journal-title":"Surg Gynecol Obstet"},{"key":"2024093006392838700_bib3","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1097\/00000658-197503000-00011","article-title":"Primary peritonitis in infancy and childhood","volume":"181","author":"McDougal","year":"1975","journal-title":"Ann Surg"},{"key":"2024093006392838700_bib4","doi-asserted-by":"crossref","first-page":"1742","DOI":"10.1001\/archinte.161.14.1742","article-title":"Pneumococcal peritonitis in adult patients: report of 64 cases with special reference to emergence of antibiotic resistance","volume":"161","author":"Capdevila","year":"2001","journal-title":"Arch Intern Med"},{"key":"2024093006392838700_bib5","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1086\/511638","article-title":"Necrotizing soft-tissue infection: diagnosis and management","volume":"44","author":"Anaya","year":"2007","journal-title":"Clin Infect Dis"},{"key":"2024093006392838700_bib6","first-page":"141","article-title":"Invasive group A streptococcus in two siblings: a case for antibiotic prophylaxis of close contacts","volume":"27","author":"Husain","year":"2001","journal-title":"Can Commun Dis Rep"},{"key":"2024093006392838700_bib7","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1097\/00000658-199302000-00003","article-title":"Streptococcal toxic shock-like syndrome. 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