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Acute appendicitis and Bacteroides fragilis.

R Pieper, L Kager, A A Lindberg

    Scandinavian Journal of Infectious Diseases. Supplementum
    |January 1, 1979
    PubMed
    Summary
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    The Bacteroides fragilis group is common in normal and diseased appendices. High antibody responses to B. fragilis indicate ruptured appendix, not necessarily appendicitis itself.

    Area of Science:

    • Microbiology
    • Immunology

    Background:

    • The appendix harbors diverse bacterial communities, including anaerobic and aerobic species.
    • The role of specific bacteria, particularly the Bacteroides fragilis group, in appendicitis pathogenesis remains unclear.

    Purpose of the Study:

    • To investigate the prevalence of the Bacteroides fragilis group in normal and inflamed appendices.
    • To assess the humoral immune response to Bacteroides species in patients with appendicitis.

    Main Methods:

    • Bacterial cultures from 30 excised appendices (normal, inflamed, perforated).
    • Serological analysis of antibody titers against four Bacteroides species in paired patient sera.

    Main Results:

    • Bacteroides fragilis group bacteria were prevalent in all appendix types.

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  • Elevated antibody titers against B. fragilis were observed in patients with ruptured appendices.
  • No significant difference in antibody response to B. fragilis was found between inflamed and normal appendices.
  • Conclusions:

    • The Bacteroides fragilis group is a common commensal in the appendix.
    • Isolation of B. fragilis alone does not confirm its etiological role in appendicitis.
    • Significant antibody increases against B. fragilis are associated with appendix rupture.