Acute abdomen probably caused by acute tuberculous appendicitis. A case report
DOI:
https://doi.org/10.17533/udea.iatreia.v30n3a07Keywords:
acute abdomen, appendicitis, tuberculosisAbstract
Background: Acute tuberculous appendicitis is a rare disease. It constitutes from 0.001 % to 0.01 % of the cli- nical forms of tuberculosis. We present cases of such disease as probably cause for surgical acute abdomen.
Case report: Male aged 29 with mild to moderate diffuse abdominal pain, which intensified and loca- lized in the right lower quadrant of the abdomen, fe- ver, vomiting, malaise, leukocytosis (11,300/μL) and 91 % neutrophils. Appendectomy was performed, the histopathological report was acute appendicitis, Ziehl-Neelsen stain was positive. Three days later he returned home and had no short- or long term com- plications.
Conclusion: Acute tuberculous appendicitis is a rare disease that may cause acute abdomen, patients should receive drug treatment to eradicate the cause and have proper epidemiological monitoring.
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References
(1.) Al-Omran M, Mamdani M, McLeod RS. Epidemiologic features of acute apendicitis in Ontario, Canada. Can J Surg. 2003 Aug;46(4):263-8.
(2.) Park SW, Lee HL, Lee OY, Jeon YC, Han DS, Youn BC, et al. [A case of appendicular tuberculosis presenting as acute appendicitis]. Korean J Gastroenterol. 2007 Dec;50(6):388-92. Korean.
(3.) Pablos-Méndez A, Blustein J, Knirsch CA. The role of diabetes mellitus in the higher prevalence of tuberculosis among Hispanics. Am J Public Health. 1997 Apr;87(4):574-9.
(4.) Vaz AP, Gomes J, Esteves J, Carvalho A, Duarte R. A rare cause of lower abdominal and pelvic mass, primary tuberculous psoas abscess: a case report. Cases J. 2009 Nov;2:182. DOI 10.1186/1757-1626-2-182.
(5.) Barrios-Fontoba JE, Marco-Macian A, Quiles-Izquier- do HJ, Vioque-López J. ¿Es hereditaria la apendicitis aguda? Rev Esp Ped. 2 003;59(5):425-8.
(6.) Vázquez-Reta JA, Vázquez-Guerrero A, Vázquez-Guerrero AL, López J, Ramírez-Barba EJ. Apendicitis aguda tuberculosa. Informe de un caso. Cir Gen. 2008;30(2):113-5.
(7.) Al Jahdali HH, Baharoon S, Abba AA, Memish ZA, Alrajhi AA, AlBarrak A, et al. Saudi guidelines for testing and treatment of latent tuberculosis infec- tion. Ann Saudi Med. 2010 Jan-Feb;30(1):38-49. DOI 10.4103/0256-4947.59373.
(8.) Baydur A. The spectrum of extrapulmonary tuberculosis. West J Med. 1977 Apr;126(4):253-62.
(9.) Ridaura-Sanz C, López-Corella E, Lopez-Ridaura R. Intestinal/Peritoneal tuberculosis in children: an analysis of autopsy cases. Tuberc Res Treat. 2012;2012:230814. DOI 10.1155/2012/230814.
(10.) Neyrolles O, Quintana-Murci L. Sexual inequality in tuberculosis. PLoS Med. 2009 Dec;6(12):e1000199. DOI 10.1371/journal.pmed.1000199.
(11.) Dudley TH Jr, Dean PJ. Idiopathic granulomatous appendicitis, or Crohn’s disease of the appendix revisited. Hum Pathol. 1993 Jun;24(6):595-601.
(12.) Ariel I, Vinograd I, Hershlag A, Olsha O, Argov S, Klausner JM, et al. Crohn’s disease isolated to the appendix: truths and fallacies. Hum Pathol. 1986 Nov;17(11):1116-21.
(13.) Chong VH, Lim KS. Gastrointestinal tuberculosis. Sin- gapore Med J. 2009 Jun;50(6):638-45; quiz 646.
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