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A Rare Case of Pneumococcal Appendicitis in a Child
Amar Chikhaoui1, Néhémie Nzoyikorera1,2, Mehdi El Mouadden3
1Faculty of Medicine and Pharmacy of Casablanca, Hassan II University of Casablanca, Casablanca, Morocco.
Case Reports in Pediatrics
|February 18, 2022
Summary
Pneumococcal appendicitis, a rare condition caused by Streptococcus pneumoniae, can occur in children. This case highlights the importance of considering S. pneumoniae as a potential cause of appendicitis, even in healthy individuals.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Microbiology
Background:
- Appendicitis is a common surgical emergency in children, typically caused by polymicrobial infections involving Escherichia coli and Streptococcus species.
- Streptococcus pneumoniae is an uncommon pathogen implicated in appendicitis.
Observation:
- A rare case of pneumococcal appendicitis in a 7-year-old child is presented.
- The infection was polymicrobial, involving Streptococcus pneumoniae, Escherichia coli, and group F β-hemolytic Streptococcus.
- The child had no underlying health conditions.
Findings:
- The isolated Streptococcus pneumoniae strain was susceptible to all tested antibiotics.
- The patient recovered fully following surgical intervention and antibiotic treatment.
Implications:
- This case underscores that Streptococcus pneumoniae can cause unusual infections, including appendicitis, in both healthy children and those with comorbidities.
- Physicians should maintain awareness of Streptococcus pneumoniae as a potential, albeit rare, causative agent of appendicitis.
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