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Query: UMLS:C0031154 (peritonitis)
 15,372 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

An intra-abdominal cyst is a rare complication of ventriculoperitoneal (VP) shunt. A 19-year-old male was admitted complaining of abdominal pain and distension, dysuria, constipation, headache, and fever. He had undergone a VP shunt for obstructive hydrocephalus caused by a cerebellar astrocytoma 16 years earlier, and had received shunt revision twice, 5 years and 3 months earlier, respectively. Examination on admission revealed neck stiffness, early papilledema, a mass in the lower abdomen, and abdominal muscular guarding with rebound tenderness. Laboratory studies showed leukocytosis of the peripheral blood and pleocytosis of the cerebrospinal fluid (CSF). Abdominal ultrasonograms and computed tomographic scans demonstrated a cystic lesion. Under the diagnosis of meningitis and local peritonitis with an intra-abdominal cyst, we sistemically administered antibiotics and externalized the shunt. However, since the cyst fluid could not be aspirated through the abdominal catheter, it was exchanged with a flexible catheter under fluoroscopic control, according to Seldinger's method. A total of 400 ml of cyst fluid was drained. Staphylococcus epidermidis was detected in both the cyst fluid and the CSF. After meningitis subsided, repositioning of the abdominal catheter into the other side of the abdomen was performed but resulted in shunt malfunction and meningitis due to the same organisms. After meningitis again subsided, the VP shunt was converted to a ventriculoatrial shunt. The clinical course was uneventful thereafter.
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PMID:Intra-abdominal cyst following revision of ventriculoperitoneal shunt--case report. 170 49

This paper presents an overview of reports of Streptococcus suis infection in Thailand from 1987-2000. Nine reports (N=27 samples) have been collected and analyzed descriptively. The demographic data and clinical data showed 15 samples (55.6%) of all samples had a history of contact with pig, raw pork product or a history of raw pork, or uncooked pig's blood, consumption. The ages of the patients ranged from 23 to 72 years (mean 47 +/- 8.91). Most presented with fever (N=27, 100%), headache (N=11, 40.74%) and neck stiffness (N=13, 48.15%). Twelve (44.44%) cases developed septic shock, and only one survived with loss of hearing ability. Two cases were the first report of human S. suis endocarditis from Thailand. One case was probably the first case report of S. suis peritonitis. Laboratory results and treatment have been also reviewed and may highlight the importance of microbiological laboratories that have limited facilities for identification of the organism.
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PMID:Streptococcus suis infection: overview of case reports in Thailand. 1923 May 89