{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:15Z","timestamp":1740126795216,"version":"3.37.3"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"01\/02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n            Anamnese und klinischer Befund Eine 59-j\u00e4hrige Patientin mit unauff\u00e4lliger Krankengeschichte stellte sich wegen seit ca. 7 Tagen bestehender w\u00e4ssriger Diarrh\u00f6en, starken Unterbauchschmerzen und Fieber vor. Bei der k\u00f6rperlichen Untersuchung war das Abdomen distendiert, die Darmger\u00e4usche waren nicht auskultierbar, und es bestand ein akutes Abdomen mit generalisierter Abwehrspannung sowie deutlich erh\u00f6hten Entz\u00fcndungsparametern.<\/jats:p><jats:p>\n            Untersuchungen Die Computertomografie des Abdomens zeigte einen ausgepr\u00e4gten Aszites und Zeichen einer Peritonitis. Es bestand die Indikation zur operativen Exploration. Zun\u00e4chst erfolgte eine Laparoskopie. Hierbei zeigte sich eine diffuse eitrige Peritonitis. Eine Organperforation oder ein anderweitiger Focus konnten ausgeschlossen werden.<\/jats:p><jats:p>\n            Diagnose, Therapie und Verlauf Nach Abstrich-Entnahme erfolgte die ausgiebige Lavage und Drainagen-Einlage. Die bakteriologische Untersuchung und die Blutkulturen zeigten \u03b2-h\u00e4molysierende Streptokokken der Gruppe A, was zur Diagnose einer spontanen bakteriellen Streptokokken-Peritonitis f\u00fchrte. Die Patientin wurde antibiotisch behandelt, erholte sich zunehmend und konnte beschwerdefrei entlassen werden.<\/jats:p><jats:p>\n            Folgerung Die prim\u00e4re spontane bakterielle Peritonitis durch Streptococcus pyogenes geh\u00f6rt zu den seltenen Ursache eines akuten Abdomens. Eine fr\u00fchzeitige Diagnose und sofortige Antibiotikatherapie sind entscheidend f\u00fcr die Prognose.<\/jats:p>","DOI":"10.1055\/a-2418-2842","type":"journal-article","created":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T00:01:48Z","timestamp":1733961708000},"page":"44-47","source":"Crossref","is-referenced-by-count":0,"title":["Atypische spontane bakterielle Peritonitis beim Streptokokken-Toxischen-Schock-Syndrom"],"prefix":"10.1055","volume":"150","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9697-0196","authenticated-orcid":false,"given":"Tomas","family":"Marin Cuartas","sequence":"additional","affiliation":[{"name":"Allgemein- und Viszeralchirurgie, HELIOS Klinik Attendorn: Akademisches Lehrkrankenhaus der Philipps-Universit\u00e4t Marburg, Attendorn, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad Farid","family":"Nasri","sequence":"additional","affiliation":[{"name":"Allgemein- und Viszeralchirurgie, HELIOS Klinik Attendorn: Akademisches Lehrkrankenhaus der Philipps-Universit\u00e4t Marburg, Attendorn, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Bollmann","sequence":"additional","affiliation":[{"name":"Allgemein- und Viszeralchirurgie, HELIOS Klinik Attendorn: Akademisches Lehrkrankenhaus der Philipps-Universit\u00e4t Marburg, Attendorn, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,12,11]]},"reference":[{"issue":"08","key":"ref1","doi-asserted-by":"publisher","first-page":"e43330","DOI":"10.7759\/cureus.43330","article-title":"Streptococcus pyogenes Infection-Induced Primary Peritonitis in a Healthy Adult Female: A Very Rare Causative Agent","volume":"15","author":"K Soga","year":"2023","journal-title":"Cureus"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"106839","DOI":"10.1016\/j.ijscr.2022.106839.","article-title":"Peritonitis caused by group A streptococcus: A case report and literature review","volume":"92","author":"F Sumiyama","year":"2022","journal-title":"Int J Surg Case Rep"},{"issue":"09","key":"ref3","doi-asserted-by":"publisher","first-page":"1229","DOI":"10.2169\/internalmedicine.1933-23.","article-title":"Primary Peritonitis Due to Group A Streptococcus Successfully Treated with Intraperitoneal Drainage","volume":"63","author":"Y Matsumoto","year":"2024","journal-title":"Intern Med"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"26","DOI":"10.3390\/idr13010005","article-title":"Primary Peritonitis Secondary to Streptococcus pyogenes in a Young Female Adult \u2013 A Case Report and Literature Review","volume":"13","author":"AEY Aw","year":"2021","journal-title":"Infect. 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