Paediatric Primary Peritonitis: A Rare Entity among Immunocompetent Individuals Rearing Its Head again during this COVID-19 Pandemic Era
Published: 2021-12-28
Page: 785-791
Issue: 2021 - Volume 4 [Issue 2]
Hidhaya Selvan Ramakrishnan *
Department of General Surgery, Hospital Sultanah Nora Ismail, Jalan Korma, Taman Soga, Batu Pahat, 83000 Johor, Malaysia.
Aatikah Rashidah
Department of General Surgery, Hospital Sultanah Nora Ismail, Jalan Korma, Taman Soga, Batu Pahat, 83000 Johor, Malaysia.
Nur Bazlaah Bahari
Department of General Surgery, Hospital Sultanah Nora Ismail, Jalan Korma, Taman Soga, Batu Pahat, 83000 Johor, Malaysia.
Vethunan Tamalvanan
Department of General Surgery, Hospital Sultanah Nora Ismail, Jalan Korma, Taman Soga, Batu Pahat, 83000 Johor, Malaysia.
Khairuzi Salekan
Department of General Surgery, Hospital Sultanah Nora Ismail, Jalan Korma, Taman Soga, Batu Pahat, 83000 Johor, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Primary peritonitis is a unique entity that has taken backstage in terms of incidence in recent years, especially in those immunocompetent individuals. Here, we present the case of a young 6-year-old girl that presented to the emergency room with generalised abdominal pain and Class II septic shock. The patient had then undergone laparotomy, prophylactic appendicectomy and peritoneal lavage. Diagnosis of primary peritonitis was then subsequently made, and the patient had completed a broad-spectrum antibiotic course and recovered well. The discussion reviews the impact of lockdown imposed in view COVID-19 infection in terms of delay in seeking medical treatment, the pathogenesis of the primary peritonitis, and different management modalities.
Keywords: Primary peritonitis, immunocompetent, COVID-19 batu pahat.