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Measles and appendicitis

T V Whalen, J R Klos, P J Kovalcik

    The American Surgeon
    |July 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Measles can cause right lower quadrant pain, mimicking appendicitis. Histologic Warthin-Finkeldey giant cells in the appendix can predict measles, but appendectomy is crucial if appendicitis is suspected.

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    Area of Science:

    • Pediatrics
    • Infectious Diseases
    • Gastroenterology

    Background:

    • Measles (rubeola) is a highly contagious viral illness.
    • Right lower quadrant pain can present with various differential diagnoses, including appendicitis.

    Observation:

    • Two pediatric patients presented with prodromal measles and right lower quadrant pain.
    • One patient underwent appendectomy, revealing Warthin-Finkeldey giant cells in the appendix.
    • The second patient's pain resolved spontaneously, with a measles rash appearing later.

    Findings:

    • Histologic examination of the appendix identified Warthin-Finkeldey giant cells, indicative of measles.
    • The presence of these cells allowed for prediction of the measles rash.
    • The association between measles and appendicitis symptoms was observed.

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    Implications:

    • The findings highlight a potential diagnostic challenge in differentiating measles prodrome from appendicitis.
    • Surgeons must maintain a high index of suspicion for appendicitis despite concurrent measles symptoms.
    • Early recognition and appropriate surgical intervention remain paramount for suspected appendicitis.