{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T20:13:46Z","timestamp":1769631226421,"version":"3.49.0"},"reference-count":0,"publisher":"Akademiai Kiado Zrt.","issue":"23","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["Orv Hetil."],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Absztrakt: <\/jats:title>\n                <jats:p>Az eg\u00e9szs\u00e9ges, hajlamos\u00edt\u00f3 t\u00e9nyez\u0151 n\u00e9lk\u00fcli gyermekekn\u00e9l a primer peritonitis\n                    rendk\u00edv\u00fcl ritka. A klinikai k\u00e9p egy\u00e9rtelm\u0171 hajlamos\u00edt\u00f3 t\u00e9nyez\u0151k \u00e9s t\u00fcnetek\n                    hi\u00e1ny\u00e1ban nem k\u00fcl\u00f6nb\u00f6zik a szekunder peritonitisekt\u0151l. Emiatt a diagn\u00f3zis szinte\n                    mindig intraoperat\u00edv. Esetismertet\u00e9s: 15 \u00e9ves, kor\u00e1bban eg\u00e9szs\u00e9ges fi\u00fat\n                    kezelt\u00fcnk enteritisnek megfelel\u0151 panaszokkal. A panaszok kezdet\u00e9t\u0151l 24 \u00f3r\u00e1n\n                    bel\u00fcl akut has \u00e9s szeptikus sokkos \u00e1llapot alakult ki. A has komputertomogr\u00e1fos\n                    vizsg\u00e1latakor apr\u00f3 leveg\u0151z\u00e1rv\u00e1nyok l\u00e1tszottak a has k\u00f6z\u00e9pvonal\u00e1ban \u00e9s a\n                    terminalis ileum mellett. S\u00fcrg\u0151ss\u00e9ggel laparotomi\u00e1t v\u00e9gezt\u00fcnk perfor\u00e1ci\u00f3s\n                    peritonitis gyan\u00faja miatt. A m\u0171t\u00e9t sor\u00e1n azonban a purulens peritonitis\n                    h\u00e1tter\u00e9ben perfor\u00e1ci\u00f3t nem tal\u00e1ltunk. Sz\u00e9les spektrum\u00fa empirikus, majd c\u00e9lzott\n                    antibiotikumk\u00far\u00e1t alkalmaztunk. A szeptikus sokkot \u00e9s sz\u00f6v\u0151dm\u00e9nyeit sikeresen\n                    kezelt\u00fck. A primer peritonitis forr\u00e1s\u00e1t nem tudtuk azonos\u00edtani. A gyermek a\n                    hazabocs\u00e1t\u00e1sa \u00f3ta panaszmentes. Primer peritonitisn\u00e9l a nem specifikus, rapidan\n                    progredi\u00e1l\u00f3 t\u00fcnetek miatt a s\u00fcrg\u0151s m\u0171t\u00e9t \u00e1ltal\u00e1ban elker\u00fclhetetlen. Megfelel\u0151\n                    antibiotikum- \u00e9s szupport\u00edv ter\u00e1pi\u00e1val a progn\u00f3zis kedvez\u0151. Orv Hetil. 2020;\n                    161(23): 977\u2013979.<\/jats:p>","DOI":"10.1556\/650.2020.31757","type":"journal-article","created":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T10:22:38Z","timestamp":1590574958000},"page":"977-979","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":1,"title":["Primer peritonitis eg\u00e9szs\u00e9ges serd\u00fcl\u0151 fi\u00faban"],"prefix":"10.1556","volume":"161","author":[{"given":"L\u00e1szl\u00f3","family":"Farkas","sequence":"first","affiliation":[{"name":"1 Csecsem\u0151- \u00e9s Gyermekgy\u00f3gy\u00e1szati Oszt\u00e1ly, Gyermekseb\u00e9szeti Szakambulancia, Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z Szombathely, Markusovszky \u00fat 5., 9700"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gy\u00f6rgy","family":"Laz\u00e1ry","sequence":"additional","affiliation":[{"name":"1 Csecsem\u0151- \u00e9s Gyermekgy\u00f3gy\u00e1szati Oszt\u00e1ly, Gyermekseb\u00e9szeti Szakambulancia, Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z Szombathely, Markusovszky \u00fat 5., 9700"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilona","family":"K\u00f6ves","sequence":"additional","affiliation":[{"name":"2 Csecsem\u0151- \u00e9s Gyermekgy\u00f3gy\u00e1szati Oszt\u00e1ly, Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z Szombathely"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Violetta","family":"Cs\u00e1kv\u00e1ry","sequence":"additional","affiliation":[{"name":"2 Csecsem\u0151- \u00e9s Gyermekgy\u00f3gy\u00e1szati Oszt\u00e1ly, Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z Szombathely"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebeka","family":"R\u00f3naky","sequence":"additional","affiliation":[{"name":"1 Csecsem\u0151- \u00e9s Gyermekgy\u00f3gy\u00e1szati Oszt\u00e1ly, Gyermekseb\u00e9szeti Szakambulancia, Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z Szombathely, Markusovszky \u00fat 5., 9700"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tam\u00e1s","family":"Nagy","sequence":"additional","affiliation":[{"name":"3 K\u00f6zponti Radiol\u00f3giai Oszt\u00e1ly, Markusovszky Egyetemi Oktat\u00f3k\u00f3rh\u00e1z Szombathely"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/23\/article-p977.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/akjournals.com\/downloadpdf\/journals\/650\/161\/23\/article-p977.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,11]],"date-time":"2021-10-11T01:14:00Z","timestamp":1633914840000},"score":1,"resource":{"primary":{"URL":"https:\/\/akjournals.com\/view\/journals\/650\/161\/23\/article-p977.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6]]},"references-count":0,"journal-issue":{"issue":"23"},"URL":"https:\/\/doi.org\/10.1556\/650.2020.31757","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6]]}}}