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Appendiceal spirochetosis

M Yang1, R Lapham

  • 1Department of Pathology and Laboratory Medicine, University of Texas Medical School, Houston 77030, USA.

Southern Medical Journal
|January 1, 1997
PubMed
Summary
This summary is machine-generated.

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Appendiceal spirochetosis is a rare finding in appendectomies, affecting adults of both sexes, with or without appendicitis symptoms. This study found no cases in pediatric patients.

Area of Science:

  • Gastroenterology
  • Pathology
  • Microbiology

Background:

  • Appendiceal spirochetosis is infrequently documented in medical literature.
  • The condition's prevalence and clinical associations require further investigation.

Purpose of the Study:

  • To determine the incidence of appendiceal spirochetosis in a series of appendectomy specimens.
  • To characterize the demographic and clinical features of patients with appendiceal spirochetosis.

Main Methods:

  • Retrospective analysis of 109 appendectomy cases (76 adult, 33 pediatric).
  • Histopathological examination using hematoxylin-eosin, Steiner, and Steiner stains.
  • Ultrastructural studies for confirmation.

Main Results:

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  • Appendiceal spirochetosis was identified in 4 adult patients (2 male, 2 female).
  • One patient was HIV-positive; the status of the other three was unknown.
  • No cases were observed in the pediatric group.

Conclusions:

  • Appendiceal spirochetosis is an uncommon finding in appendectomy specimens.
  • It affects adults of both sexes and can occur independently of acute appendicitis symptoms.
  • The condition was not observed in pediatric cases within this study cohort.