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Successful Conservative Management of Acute Appendicitis in a Coronavirus Disease 2019 (COVID-19) Patient
Appendectomy is the gold standard of treatment for acute appendicitis; however, recent evidence suggests conservative management with intravenous antibiotics may provide similar outcomes and can be used as an alternative in selected patients. Performing appendectomy in acute appendicitis patients wi...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250521/ https://www.ncbi.nlm.nih.gov/pubmed/32467809 http://dx.doi.org/10.7759/cureus.7834 |
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author | Suwanwongse, Kulachanya Shabarek, Nehad |
author_facet | Suwanwongse, Kulachanya Shabarek, Nehad |
author_sort | Suwanwongse, Kulachanya |
collection | PubMed |
description | Appendectomy is the gold standard of treatment for acute appendicitis; however, recent evidence suggests conservative management with intravenous antibiotics may provide similar outcomes and can be used as an alternative in selected patients. Performing appendectomy in acute appendicitis patients with 2019 novel Coronavirus Disease (COVID-19) is challenging, as it involves considerable operative risks for the patients and risks for health care professionals (HCPs) exposed to COVID-19. Medical management eliminates the morbidity and mortality associated with surgery but involves significant risks of treatment failures that, in turn, may lead to perforation, peritonitis, and death. We are reporting a case of a middle-aged man with multiple co-morbidities, who was diagnosed with COVID-19 and acute appendicitis. Our patient received intravenous antibiotics for seven days with a significant improvement in symptoms. Our case report illustrates the implementation of successful conservative treatment for acute appendicitis in COVID-19 patients. |
format | Online Article Text |
id | pubmed-7250521 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-72505212020-05-27 Successful Conservative Management of Acute Appendicitis in a Coronavirus Disease 2019 (COVID-19) Patient Suwanwongse, Kulachanya Shabarek, Nehad Cureus Family/General Practice Appendectomy is the gold standard of treatment for acute appendicitis; however, recent evidence suggests conservative management with intravenous antibiotics may provide similar outcomes and can be used as an alternative in selected patients. Performing appendectomy in acute appendicitis patients with 2019 novel Coronavirus Disease (COVID-19) is challenging, as it involves considerable operative risks for the patients and risks for health care professionals (HCPs) exposed to COVID-19. Medical management eliminates the morbidity and mortality associated with surgery but involves significant risks of treatment failures that, in turn, may lead to perforation, peritonitis, and death. We are reporting a case of a middle-aged man with multiple co-morbidities, who was diagnosed with COVID-19 and acute appendicitis. Our patient received intravenous antibiotics for seven days with a significant improvement in symptoms. Our case report illustrates the implementation of successful conservative treatment for acute appendicitis in COVID-19 patients. Cureus 2020-04-26 /pmc/articles/PMC7250521/ /pubmed/32467809 http://dx.doi.org/10.7759/cureus.7834 Text en Copyright © 2020, Suwanwongse et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Family/General Practice Suwanwongse, Kulachanya Shabarek, Nehad Successful Conservative Management of Acute Appendicitis in a Coronavirus Disease 2019 (COVID-19) Patient |
title | Successful Conservative Management of Acute Appendicitis in a Coronavirus Disease 2019 (COVID-19) Patient |
title_full | Successful Conservative Management of Acute Appendicitis in a Coronavirus Disease 2019 (COVID-19) Patient |
title_fullStr | Successful Conservative Management of Acute Appendicitis in a Coronavirus Disease 2019 (COVID-19) Patient |
title_full_unstemmed | Successful Conservative Management of Acute Appendicitis in a Coronavirus Disease 2019 (COVID-19) Patient |
title_short | Successful Conservative Management of Acute Appendicitis in a Coronavirus Disease 2019 (COVID-19) Patient |
title_sort | successful conservative management of acute appendicitis in a coronavirus disease 2019 (covid-19) patient |
topic | Family/General Practice |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250521/ https://www.ncbi.nlm.nih.gov/pubmed/32467809 http://dx.doi.org/10.7759/cureus.7834 |
work_keys_str_mv | AT suwanwongsekulachanya successfulconservativemanagementofacuteappendicitisinacoronavirusdisease2019covid19patient AT shabareknehad successfulconservativemanagementofacuteappendicitisinacoronavirusdisease2019covid19patient |