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Appendicitis in a Child due to Streptococcus Pneumoniae: A Rare Case Report
Dnyaneshawari Purushottam Ghadage1, Deepali Shivajirao Kamble2, Swati Shivajirao Nale3
1Professor and Head, Department of Microbiolgy, Smt.Kashibai Navale Medical College & General Hospital Narhe, Pune, India .
Abstract:
A variety of bacterial species play a major role in appendicitis. Both aerobic and anaerobic gram positive and gram negative bacteria such as, Bacteroides fragilis, Streptococcus species, Escherichia coli, Klebsiella species and Citrobacter freundii cause appendicitis. Appendicitis is usually polymicrobial. The case assumes importance because of single aetiological agent i.e. unimicrobial and no predisposing factors are present to cause infection. We report a rare case of appendicitis due to Streptococcus pneumoniae in child. This case emphasizes that Streptococcus pneumoniae can cause wide spectrum of disease like appendicitis.
Insights
Appendicitis is typically caused by multiple bacteria. This report details a rare case of unimicrobial appendicitis in a child caused by Streptococcus pneumoniae, highlighting its diverse disease potential.
Area of Science:
- Microbiology
- Pediatric Infectious Diseases
- Surgical Pathology
Background:
- Appendicitis is commonly a polymicrobial infection involving various aerobic and anaerobic bacteria.
- Common etiological agents include Escherichia coli, Klebsiella species, Bacteroides fragilis, and Streptococcus species.
- Unimicrobial appendicitis is rare, especially without predisposing factors.
Observation:
- A pediatric case of appendicitis was observed.
- The infection was caused by a single bacterial species, Streptococcus pneumoniae.
- No predisposing factors for the infection were identified.
Findings:
- Streptococcus pneumoniae was identified as the sole etiological agent of appendicitis in this pediatric case.
- This finding is significant as Streptococcus pneumoniae is not a typical cause of appendicitis.
- The case demonstrates a rare instance of unimicrobial appendicitis.
Implications:
- This case highlights the potential for Streptococcus pneumoniae to cause a broader spectrum of infections than previously recognized.
- Clinicians should consider Streptococcus pneumoniae in the differential diagnosis of pediatric appendicitis, even in unimicrobial presentations.
- Further research may be warranted to understand the mechanisms and prevalence of Streptococcus pneumoniae-induced appendicitis.
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