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Salmonella typhimurium appendicitis.

P G Kazlow1, J Freed, J R Rosh

  • 1Department of Pediatrics (Division of Pediatric Gastroenterology), Mount Sinai School of Medicine, New York, New York 10029.

Journal of Pediatric Gastroenterology and Nutrition
|July 1, 1991
PubMed
Summary
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Salmonella typhimurium, a rare cause of appendicitis, was identified in a child with gastroenteritis who developed severe post-operative symptoms. Cultures confirmed the bacteria in the appendix and stool, explaining the unusual clinical course.

Area of Science:

  • Pediatric Gastroenterology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Acute gastroenteritis can present with abdominal pain.
  • Appendicitis is a common surgical emergency in children.
  • Nontyphoidal Salmonella infections are typically associated with diarrhea.

Observation:

  • A child with acute gastroenteritis localized pain to the right lower quadrant, leading to an appendicitis diagnosis.
  • Post-operative complications included high fevers and profuse nonbloody diarrhea.
  • Surgical findings confirmed an inflamed appendix.

Findings:

  • Cultures of the appendix and stool revealed Salmonella typhimurium.
  • This identified a rare cause of acute suppurative appendicitis.

Related Experiment Videos

  • Microbial analysis was key to understanding the patient's complex presentation.

    • Implications:

    • Highlights the importance of considering unusual pathogens in pediatric surgical cases.
    • Emphasizes the role of comprehensive culturing in diagnosing complex infections.
    • Suggests Salmonella appendicitis may present with distinct post-operative sequelae.