{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T08:49:05Z","timestamp":1776329345787,"version":"3.50.1"},"reference-count":0,"publisher":"Universidad Nacional de C\u00f3rdoba","issue":"3","license":[{"start":{"date-parts":[[2022,9,16]],"date-time":"2022-09-16T00:00:00Z","timestamp":1663286400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Fac Cien Med Univ Nac Cordoba"],"abstract":"<jats:p>Introducci\u00f3n: Streptococcus pneumoniae (Spn) ocasionalmente causa infecci\u00f3n intraabdominal (IIASpn) que puede ser: 1) peritonitis bacteriana espont\u00e1nea (PBE) en paciente a\u00f1osos con enfermedad peritoneal previa, asociada con cirrosis, en la mayor\u00eda de los casos; 2) asociada o adyacente a un \u00f3rgano intraabdominal o postquir\u00fargica (IIAbq); 3) peritonitis en mujeres j\u00f3venes previamente sanas (MJPS). Nuestro objetivo es reportar 18 casos de IIASpn describiendo: presentaci\u00f3n cl\u00ednica, comorbilidades, necesidad de cirug\u00eda, microbiolog\u00eda y sensibilidad a los antimicrobianos, conducta terap\u00e9utica y evoluci\u00f3n.\r\nM\u00e9todos: estudio de 18 pacientes adultos con IIASpn en un per\u00edodo de 23 a\u00f1os. An\u00e1lisis de las caracter\u00edsticas cl\u00ednicas, microbiolog\u00eda y evoluci\u00f3n de los pacientes.\r\nResultados: las IIASpn ocurrieron en 9 MJPS, 6 varones y una mujer con PBE, y 2 varones con apendicitis. Las MJPS fueron intervenidas quir\u00fargicamente (4 pelviperitonitis, 3 salpingitis y 2 abscesos tubo ov\u00e1rico) y evolucionaron favorablemente. En las muestras intraoperatorias se aisl\u00f3 Spn cultivo puro sensible a penicilina. Tres de cuatro pacientes tuvieron hemocultivo positivo. Cinco de siete pacientes con PBE fallecieron y en las muestras de l\u00edquido peritoneal desarroll\u00f3 Spn cultivo puro. Gran porcentaje de cepas present\u00f3 sensibilidad disminuida a penicilina. Cuatro de cinco, tuvieron hemocultivo positivo. Los pacientes con apendicitis evolucionaron favorablemente.\r\nConclusiones: La IIASpn en MJPS fue la presentaci\u00f3n m\u00e1s frecuente, la cirug\u00eda jug\u00f3 un rol significativo en el tratamiento y la respuesta cl\u00ednica fue excelente. La segunda presentaci\u00f3n ocurri\u00f3 en pacientes a\u00f1osos con cirrosis y en su mayor\u00eda, fallecieron. La apendicitis fue la tercera presentaci\u00f3n en pacientes que evolucionaron favorablemente.\u00a0<\/jats:p>","DOI":"10.31053\/1853.0605.v79.n3.36024","type":"journal-article","created":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T12:28:56Z","timestamp":1663676936000},"page":"280-284","source":"Crossref","is-referenced-by-count":1,"title":["Infecciones intraabdominales en adultos causadas por Streptococcus pneumoniae"],"prefix":"10.31053","volume":"79","author":[{"given":"Ana Maria","family":"Gasparotto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ariel","family":"Gianecini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andres","family":"Kasparian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Kremer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Rocchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Quinteros Greco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Valeria","family":"Oca\u00f1a Carrizo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mercedes","family":"Navarro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aida","family":"Monterisi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"12333","published-online":{"date-parts":[[2022,9,16]]},"container-title":["Revista de la Facultad de Ciencias M\u00e9dicas de C\u00f3rdoba"],"original-title":[],"link":[{"URL":"https:\/\/revistas.unc.edu.ar\/index.php\/med\/article\/download\/36024\/38747","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.unc.edu.ar\/index.php\/med\/article\/download\/36024\/38802","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revistas.unc.edu.ar\/index.php\/med\/article\/download\/36024\/38802","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T12:28:56Z","timestamp":1663676936000},"score":1,"resource":{"primary":{"URL":"https:\/\/revistas.unc.edu.ar\/index.php\/med\/article\/view\/36024"}},"subtitle":["reporte de 18 casos"],"short-title":[],"issued":{"date-parts":[[2022,9,16]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,9,16]]}},"URL":"https:\/\/doi.org\/10.31053\/1853.0605.v79.n3.36024","relation":{},"ISSN":["1853-0605","0014-6722"],"issn-type":[{"value":"1853-0605","type":"electronic"},{"value":"0014-6722","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9,16]]}}}