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[Measles-related appendicitis. A report of a new case]
R Carnicero Laseca1, A Gómez Portilla, L Fernández Fernández
1Servicio de Cirugía General, Hospital General del Insalud.
Abstract:
We present a case of "Measles Appendicitis" treated recently in our unit. We point out the lack of bibliographic references on this pathology, despite its relatively high rate of incidence. The possible coexistence of appendicitis and measles; along with the possibility of a bacterial superinfection of the obliterated appendix due to submucous lymphoid hyperplasia, in our opinion, justifies an initial surgical approach in patients with measles who suffer from bouts of diagnostically uncertain pain in the lower right abdomen.
Insights
Measles appendicitis is a rare but potentially serious condition. Early surgical intervention is recommended for measles patients with uncertain lower right abdominal pain due to potential appendiceal complications.
Area of Science:
- Pediatrics
- Infectious Diseases
- Gastroenterology
Background:
- Measles is a highly contagious viral illness.
- Appendicitis is a common surgical emergency.
- The co-occurrence of measles and appendicitis is infrequently documented.
Observation:
- A case of measles appendicitis was recently treated.
- The patient presented with symptoms suggestive of appendicitis during a measles infection.
- Diagnostic uncertainty regarding the cause of abdominal pain was noted.
Findings:
- Appendiceal inflammation can occur concurrently with measles.
- Submucous lymphoid hyperplasia in the appendix may predispose to bacterial superinfection.
- This combination, termed "Measles Appendicitis," requires careful consideration.
Implications:
- The study highlights a potential complication of measles.
- Early surgical evaluation is advised for measles patients with acute abdominal pain.
- Further research is needed to understand the incidence and pathophysiology of measles appendicitis.