Appendiceal infection by Entamoeba histolytica and Strongyloides stercoralis presenting like acute appendicitis
Identifieur interne : 003089 ( Main/Exploration ); précédent : 003088; suivant : 003090Appendiceal infection by Entamoeba histolytica and Strongyloides stercoralis presenting like acute appendicitis
Auteurs : Steven Nadler [États-Unis] ; Mitchell S. Cappell [États-Unis] ; Bankim Bhatt [États-Unis] ; Sandra Matano [États-Unis] ; Katsuhiro Kure [États-Unis]Source :
- Digestive Diseases and Sciences [ 0163-2116 ] ; 1990-05-01.
English descriptors
- KwdEn :
- Teeft :
- Abdominal, Abdominal pain, Abdominal roentgenogram, Abscess, Acute appendicitis, Amebiasis, Amebic, Amebic appendicitis, Appendectomy, Appendiceal, Appendiceal amebiasis, Appendiceal infection, Appendiceal involvement, Appendicitis, Arch intern, Band forms, Blood transfusions, Bowel, Cardiac arrest, Colon rectum, Cortisone analogs, Digestive diseases, Endemic areas, Entamoeba histolytica, Eosin stain, Exploratory laparotomy, Hepatic abscess, Immune deficiency syndrome, Inflamed appendix, Intestinal secretion, Intravenous drug abuse, Leukocyte count, Neutrophil, Normal limits, Occult heme, Periodic stain, Physical exam, Puerto rico, Pulmonary disease, Quadrant, Quadrant pain, Ranitidine hydrochloride, Rebound, Rebound tenderness, Recent travel, Rectal temperature, Robert wood johnson, Roentgenogram, Routine serum electrolytes, Skin rash, Small bowel, Stemmerman, Stercoralis, Strongyloides, Strongyloides infestation, Strongyloides stercoralis, Strongyloides stercoralis hyperinfection, Strongyloides stercoralis infection, Strongyloidiasis, Tender rectum, Tetracycline appendectomy.
Abstract
Summary: A 58-year-old male from Puerto Rico who was taking orally administered cortisone analogs for chronic obstructive pulmonary disease presented with fever, absolute eosinophilia, right lower quadrant pain, and rebound tenderness associated withStrongyloides stercoralis infection of the appendix. A 37-year-old alcoholic male developed fever, right lower quadrant abdominal pain, and rebound tenderness because of infection of the appendix withEntamoeba histolytica. These are the seventh reported case of isolated amebic appendicitis and the ninth reported case of appendiceal involvement withStrongyloides. In all these cases the diagnosis was made only after surgery. Patients with unexplained right lower quadrant pain, particularly if immunosuppressed or with an appropriate travel history, should have stool examinations for ova and parasites. Early diagnosis and treatment may prevent life-threatening complications such as perforation and peritonitis.
Url:
DOI: 10.1007/BF01540408
Affiliations:
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<term>appendicitis</term>
<term>intestinal parasites</term>
<term>strongyloidiasis</term>
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<term>Abdominal pain</term>
<term>Abdominal roentgenogram</term>
<term>Abscess</term>
<term>Acute appendicitis</term>
<term>Amebiasis</term>
<term>Amebic</term>
<term>Amebic appendicitis</term>
<term>Appendectomy</term>
<term>Appendiceal</term>
<term>Appendiceal amebiasis</term>
<term>Appendiceal infection</term>
<term>Appendiceal involvement</term>
<term>Appendicitis</term>
<term>Arch intern</term>
<term>Band forms</term>
<term>Blood transfusions</term>
<term>Bowel</term>
<term>Cardiac arrest</term>
<term>Colon rectum</term>
<term>Cortisone analogs</term>
<term>Digestive diseases</term>
<term>Endemic areas</term>
<term>Entamoeba histolytica</term>
<term>Eosin stain</term>
<term>Exploratory laparotomy</term>
<term>Hepatic abscess</term>
<term>Immune deficiency syndrome</term>
<term>Inflamed appendix</term>
<term>Intestinal secretion</term>
<term>Intravenous drug abuse</term>
<term>Leukocyte count</term>
<term>Neutrophil</term>
<term>Normal limits</term>
<term>Occult heme</term>
<term>Periodic stain</term>
<term>Physical exam</term>
<term>Puerto rico</term>
<term>Pulmonary disease</term>
<term>Quadrant</term>
<term>Quadrant pain</term>
<term>Ranitidine hydrochloride</term>
<term>Rebound</term>
<term>Rebound tenderness</term>
<term>Recent travel</term>
<term>Rectal temperature</term>
<term>Robert wood johnson</term>
<term>Roentgenogram</term>
<term>Routine serum electrolytes</term>
<term>Skin rash</term>
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<front><div type="abstract" xml:lang="en">Summary: A 58-year-old male from Puerto Rico who was taking orally administered cortisone analogs for chronic obstructive pulmonary disease presented with fever, absolute eosinophilia, right lower quadrant pain, and rebound tenderness associated withStrongyloides stercoralis infection of the appendix. A 37-year-old alcoholic male developed fever, right lower quadrant abdominal pain, and rebound tenderness because of infection of the appendix withEntamoeba histolytica. These are the seventh reported case of isolated amebic appendicitis and the ninth reported case of appendiceal involvement withStrongyloides. In all these cases the diagnosis was made only after surgery. Patients with unexplained right lower quadrant pain, particularly if immunosuppressed or with an appropriate travel history, should have stool examinations for ova and parasites. Early diagnosis and treatment may prevent life-threatening complications such as perforation and peritonitis.</div>
</front>
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<affiliations><list><country><li>États-Unis</li>
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<region><li>New Jersey</li>
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<tree><country name="États-Unis"><region name="New Jersey"><name sortKey="Nadler, Steven" sort="Nadler, Steven" uniqKey="Nadler S" first="Steven" last="Nadler">Steven Nadler</name>
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<name sortKey="Bhatt, Bankim" sort="Bhatt, Bankim" uniqKey="Bhatt B" first="Bankim" last="Bhatt">Bankim Bhatt</name>
<name sortKey="Cappell, Mitchell S" sort="Cappell, Mitchell S" uniqKey="Cappell M" first="Mitchell S." last="Cappell">Mitchell S. Cappell</name>
<name sortKey="Kure, Katsuhiro" sort="Kure, Katsuhiro" uniqKey="Kure K" first="Katsuhiro" last="Kure">Katsuhiro Kure</name>
<name sortKey="Matano, Sandra" sort="Matano, Sandra" uniqKey="Matano S" first="Sandra" last="Matano">Sandra Matano</name>
</country>
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