Spontaneous Pneumococcal Peritonitis: Late Infection after Bone-Marrow Transplantation

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To the Editor: Primary peritonitis (spontaneous bacterial peritonitis) is very rare after the age of 10 years and has occasionally been described in adults who have cirrhosis or the nephrotic syndrome or who have undergone splenectomy. Late infections in marrow-transplant recipients are more frequent and severe if chronic graft versus host disease occurs, and an unusually high susceptibility to pneumococcal infections has been observed in these patients.1 , 2 We recently observed spontaneous pneumococcal peritonitis in a 20-year-old man eight months after bone-marrow transplantation.The patient had acute mycloblastic leukemia (M5) that had been diagnosed in April 1983. After entering complete remission . . .