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Acute appendicitis secondary to Enterobius vermicularis infection in a middle-aged man: a case report
INTRODUCTION: Acute appendicitis due to Enterobius vermicularis is very rare, affecting mostly children. Whether pinworms cause inflammation of the appendix or just appendiceal colic has been a matter of controversy. CASE PRESENTATION: A Caucasian 52-year-old man was referred to our Emergency Depart...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3245485/ https://www.ncbi.nlm.nih.gov/pubmed/22128765 http://dx.doi.org/10.1186/1752-1947-5-559 |
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author | Panidis, Stavros Paramythiotis, Daniel Panagiotou, Dimitris Batsis, Georgios Salonikidis, Spyridon Kaloutsi, Vassiliki Michalopoulos, Antonios |
author_facet | Panidis, Stavros Paramythiotis, Daniel Panagiotou, Dimitris Batsis, Georgios Salonikidis, Spyridon Kaloutsi, Vassiliki Michalopoulos, Antonios |
author_sort | Panidis, Stavros |
collection | PubMed |
description | INTRODUCTION: Acute appendicitis due to Enterobius vermicularis is very rare, affecting mostly children. Whether pinworms cause inflammation of the appendix or just appendiceal colic has been a matter of controversy. CASE PRESENTATION: A Caucasian 52-year-old man was referred to our Emergency Department with acute abdominal pain in his right lower quadrant. The physical and laboratory examination revealed right iliac fossa tenderness and leukocytosis with neutrophilia. An open appendectomy was performed. The pathological examination showed the lumen containing pinworms. Two oral doses of mebendazole were administered postoperatively. The follow-up to date was without incident and he was free of symptoms one year after the operation. CONCLUSION: The finding of E. vermicularis in appendectomy pathological specimens is infrequent. Parasitic infections rarely cause acute appendicitis, especially in adults. One should keep in mind that the clinical signs of intestinal parasite infection may mimic acute appendicitis, although rare. A careful evaluation of symptoms such as pruritus ani, or eosinophilia on laboratory examination, could prevent unnecessary appendectomies. |
format | Online Article Text |
id | pubmed-3245485 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-32454852011-12-24 Acute appendicitis secondary to Enterobius vermicularis infection in a middle-aged man: a case report Panidis, Stavros Paramythiotis, Daniel Panagiotou, Dimitris Batsis, Georgios Salonikidis, Spyridon Kaloutsi, Vassiliki Michalopoulos, Antonios J Med Case Reports Case Report INTRODUCTION: Acute appendicitis due to Enterobius vermicularis is very rare, affecting mostly children. Whether pinworms cause inflammation of the appendix or just appendiceal colic has been a matter of controversy. CASE PRESENTATION: A Caucasian 52-year-old man was referred to our Emergency Department with acute abdominal pain in his right lower quadrant. The physical and laboratory examination revealed right iliac fossa tenderness and leukocytosis with neutrophilia. An open appendectomy was performed. The pathological examination showed the lumen containing pinworms. Two oral doses of mebendazole were administered postoperatively. The follow-up to date was without incident and he was free of symptoms one year after the operation. CONCLUSION: The finding of E. vermicularis in appendectomy pathological specimens is infrequent. Parasitic infections rarely cause acute appendicitis, especially in adults. One should keep in mind that the clinical signs of intestinal parasite infection may mimic acute appendicitis, although rare. A careful evaluation of symptoms such as pruritus ani, or eosinophilia on laboratory examination, could prevent unnecessary appendectomies. BioMed Central 2011-11-30 /pmc/articles/PMC3245485/ /pubmed/22128765 http://dx.doi.org/10.1186/1752-1947-5-559 Text en Copyright ©2011 Panidis et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Panidis, Stavros Paramythiotis, Daniel Panagiotou, Dimitris Batsis, Georgios Salonikidis, Spyridon Kaloutsi, Vassiliki Michalopoulos, Antonios Acute appendicitis secondary to Enterobius vermicularis infection in a middle-aged man: a case report |
title | Acute appendicitis secondary to Enterobius vermicularis infection in a middle-aged man: a case report |
title_full | Acute appendicitis secondary to Enterobius vermicularis infection in a middle-aged man: a case report |
title_fullStr | Acute appendicitis secondary to Enterobius vermicularis infection in a middle-aged man: a case report |
title_full_unstemmed | Acute appendicitis secondary to Enterobius vermicularis infection in a middle-aged man: a case report |
title_short | Acute appendicitis secondary to Enterobius vermicularis infection in a middle-aged man: a case report |
title_sort | acute appendicitis secondary to enterobius vermicularis infection in a middle-aged man: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3245485/ https://www.ncbi.nlm.nih.gov/pubmed/22128765 http://dx.doi.org/10.1186/1752-1947-5-559 |
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