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Acute primary peritonitis due to group A streptococci (GAS) is a rare but life-threatening disease most often seen in case of liver cirrhosis or nephrotic syndrome. The specific mechanism of this infection remains unknown and according to the literature hematogenous, lymphatic, retrograde inoculation from the genitourinary tract and translocation of intestinal tract flora have all been proposed. We report a case of a 37-year-old previously healthy patient who presented to the emergency, fourdoi:10.1016/j.idcr.2020.e00727 pmid:32128311 pmcid:PMC7042412 fatcat:je4sqq5kbzgazpicddltoa4rwy