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Appendiceal perforation and shigellosis.

J A Tovar, E P Trallero, J Garay

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |December 1, 1983
    PubMed
    Summary

    Appendiceal perforation and Shigella enteritis occurred together in a child. Shigella sonnei was found in peritoneal fluid and stool, highlighting a crucial association for treating pediatric gastroenteritis and abdominal pain.

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    Area of Science:

    • Pediatric Gastroenterology
    • Infectious Diseases
    • Surgical Abdomen

    Background:

    • Appendiceal perforation is a common surgical emergency in children.
    • Shigella enteritis typically presents with diarrhea and abdominal pain.
    • Concomitant occurrence of these conditions is rare.

    Observation:

    • A 5-year-old boy presented with symptoms suggestive of appendicitis and gastroenteritis.
    • Diagnostic investigations revealed both appendiceal perforation and Shigella enteritis.
    • Shigella sonnei was isolated from peritoneal exudate and fecal samples.

    Findings:

    • The study identified a concurrent diagnosis of appendiceal perforation and Shigella enteritis.
    • Shigella sonnei was confirmed as the causative agent in both the peritoneal cavity and the gastrointestinal tract.

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  • This case highlights a rare but significant co-occurrence of these two distinct conditions.

    • Implications:

    • Clinicians should consider Shigella infection in the differential diagnosis of pediatric patients presenting with abdominal pain and gastroenteritis, especially when appendiceal pathology is suspected.
    • Early recognition of this association can guide appropriate antimicrobial therapy and surgical management.
    • This case underscores the importance of microbiological investigations in complex pediatric abdominal presentations.