Carbapenems are also an option when treating primary peritonitis as all of the carbapenems cover gram positives, gram negatives, and anaerobes except for ertapenem. The only fluoroquinolone that can be used is moxifloxacin because this is the only fluoroquinolone that covers anaerobes. Finally, tigecycline is a tetracycline that can be used due to its coverage of gram positives and gram negatives. Empiric therapy will often require multiple drugs from different classes. Surgery (laparotomy) is needed to perform a full exploration and lavage of the peritoneum, as well as to correct any gross anatomical damage that may have caused peritonitis. The exception is spontaneous bacterial peritonitis, which does not always benefit from surgery and may be treated with antibiotics in the first instance. Prognosis
If properly treated, typical cases of surgically correctable peritonitis (e.g., perforated peptic ulcer, appendicitis, and diverticulitis) have a mortality rate of about <10% in otherwise healthy people. The mortality rate rises to 35% in peritonitis patients who develop sepsis, and patients who have underlying renal insufficiency and complications have a higher mortality rate. Etymology
The term "peritonitis" comes from Greek περιτόναιον peritonaion "peritoneum, abdominal membrane" and -itis "inflammation". References


== External links ==
Elephantiasis is the enlargement and hardening of limbs or body parts due to tissue swelling. It is characterised by edema, hypertrophy, and fibrosis of skin and subcutaneous tissues, due to obstruction of lymphatic vessels. It may affect the genitalia. The term elephantiasis is often used in reference to (symptoms caused by) parasitic worm infections, but may refer to a variety of diseases where parts of a persons body swell to massive proportions. Cause
Some conditions that present with elephantiasis include:

Elephantiasis nostras, due to longstanding chronic lymphangitis
Elephantiasis tropica (known as lymphatic filariasis), caused by a number of parasitic worms, particularly Wuchereria bancrofti. More than 120 million people, mostly in Africa and Southeast Asia, are affected. Nonfilarial elephantiasis (or podoconiosis), an immune disease affecting the lymph vessels
Leishmaniasis
Elephantiasis, Grade 3 lymphedema which may occur in people with breast cancer
Genital elephantiasis, result of lymphogranuloma venereum
Proteus syndrome, a genetic disorder best known as the condition possibly experienced by Joseph Merrick, the so-called "Elephant Man. "Other causes may include:

Repeated streptococcal infection
Lymphadenectomy
Hereditary birth defects
Pretibial myxedema

References
External links

"Lymphatic filariasis". World Health Organization. Retrieved 1 June 2018.