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Acute amebic appendicitis: report of a rare case
Naorem Gopendro Singh1, A A S Rifat Mannan, Mirza Kahvic
1Department of Pathology, Al-Jahra Hospital, Jahra, Kuwait. gopen71@yahoo.co.in
Indian Journal of Pathology & Microbiology
|November 4, 2010
Summary
Amebic appendicitis, a rare cause of appendicitis, presents with typical symptoms like fever and abdominal pain. Histopathology confirmed Entamoeba histolytica, highlighting the need for considering amebiasis in appendicitis cases.
Area of Science:
- Medicine
- Infectious Diseases
- Gastroenterology
Background:
- Acute appendicitis is a common surgical emergency.
- Appendicitis of amebic origin is infrequently reported.
- Entamoeba histolytica is a known cause of amebiasis.
Observation:
- A case of acute appendicitis with fever, right lower quadrant pain, and rebound tenderness is presented.
- Laboratory results showed neutrophilic leukocytosis.
- The patient underwent an appendectomy.
Findings:
- Histopathological examination of the appendix revealed numerous Entamoeba histolytica trophozoites within the mucosal tissue.
- This confirmed a diagnosis of amebic appendicitis.
Implications:
- Appendicular amebiasis can mimic classic acute appendicitis clinically.
- Early consideration and diagnosis of amebic appendicitis are crucial for appropriate treatment.
- This case underscores the importance of including parasitic infections in the differential diagnosis of appendicitis.
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