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[Bacteroides and appendicitis (author's transl)].

H Werner, H Kunstek-Santos, C Schockemöhle

    Pathologia Et Microbiologia
    |January 1, 1975
    PubMed
    Summary
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    Bacteroides fragilis is a key pathogen in appendicitis, frequently found in infected appendix samples. This study highlights its significant role in the disease

    Area of Science:

    • Microbiology
    • Infectious Diseases

    Context:

    • Appendicitis, particularly with perforation, is often associated with bacterial infections.
    • Bacteroides species are common inhabitants of the human gut flora.

    Purpose:

    • To investigate the role of Bacteroides fragilis in the etiology of appendicitis.
    • To quantify and identify Bacteroides species in inflamed appendix contents.

    Summary:

    • Quantitative cultures of 49 inflamed appendices revealed anaerobic gram-negative non-sporing rods in 43 samples.
    • Bacteroides species, predominantly B. fragilis, were identified in 1,374 isolates, with B. fragilis being the most prevalent in 18 samples.
    • The species distribution of Bacteroides in appendicitis mirrors that found in clinical specimens, suggesting B. fragilis has high virulence.

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    Impact:

    • Bacteroides fragilis is implicated as a significant pyrogenic agent in nearly 50% of appendicitis cases.
    • Findings suggest B. fragilis possesses higher virulence compared to other Bacteroides species in human infections.
    • This research contributes to understanding the microbial pathogenesis of appendicitis.