Case Report: A rare instance of acute appendicitis induced by Balantidium Coli parasitic infection
View abstract on PubMed
Summary
This summary is machine-generated.Acute appendicitis caused by Balantidium coli is rare. This case highlights the importance of identifying parasites in appendicitis, especially with regular pork consumption, to guide treatment.
Area Of Science
- Medical Parasitology
- Gastroenterology
- Surgical Pathology
Background
- Parasitic infections causing acute appendicitis are rare, accounting for less than 1% of cases.
- Balantidium coli, a zoonotic parasite found in pigs, can cause appendicitis.
- Only three cases of Balantidium coli-induced appendicitis have been previously reported worldwide.
Observation
- A 7-year-old female with daily pork consumption presented with symptoms mimicking intestinal obstruction.
- Computed tomography revealed acute appendicitis and secondary ileus.
- Surgical intervention identified a perforated appendix with Balantidium coli trophozoites in pathological analysis.
Findings
- The patient was treated with Piperacillin-Tazobactam and Metronidazole.
- The case underscores the significance of parasitic identification in appendicitis management.
- Regular pork consumption was hypothesized as the source of Balantidium coli infection.
Implications
- Increased awareness of Balantidium coli as a cause of appendicitis is warranted, particularly in regions with close human-pig contact.
- Parasitological examination of surgical specimens is crucial for accurate diagnosis and appropriate postoperative management.
- Proper food processing may be key in preventing zoonotic parasitic infections like balantidiasis.
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