Samonella typhi infection-related appendicitis:A case report  

作　　者：Bo-Hao Zheng Wei-Ming Hao Hung-Chen Lin Guo-Guo Shang Han Liu Xiao-Jian Ni 

机构地区：[1]Department of General Surgery,Zhongshan Hospital,Fudan University,Shanghai 200032,China [2]Shanghai Medical College,Fudan University,Shanghai 200032,China [3]Department of Pathology,Zhongshan Hospital,Shanghai 200032,China

出　　处：《World Journal of Clinical Cases》2021年第29期8782-8788,共7页世界临床病例杂志

基　　金：National Natural Science Foundation of China,No.81702586.

摘　　要：BACKGROUND Acute appendicitis is one of the most common acute abdominal emergencies around the world,which is always associated with infection.Infection with Salmonella typhi,an enteric pathogen,is a rare cause of acute appendicitis.We here report a patient with acute appendicitis associated with Samonella typhi infection,accompanied with spleen and kidney infarction,providing a rare example for a common surgical emergency.CASE SUMMARY A 25-year-old Pakistani man presented to the hospital with a 3-d history of fevers,vomiting,and abdominal pain.Computed tomography(CT)revealed a thickened intestinal wall of the ileocecal junction with multiple enlarged lymph nodes nearby.He was diagnosed with acute appendicitis and received laparoscopic appendectomy,which showed mild inflammation of the appendix.After the surgery,the patient presented again with a high fever(>39℃)and diarrhea.A CT angiography scan indicated spleen and kidney infarction.According to the blood culture,the diagnosis was finally clear to be Samonella typhi infection.The pyrexia and enteric symptoms were relieved after the application of intravenous levofloxacin.CONCLUSION This case,characterized by the combination of Salmonella typhi infection,acute appendicitis,and renal and splenic infraction,serves as a rare example for a common surgical emergency.

关 键 词：Acute appendicitis Samonella typhi infection Enteric pathogen Laparoscopic appendectomy Case report 

分 类 号：R656.8[医药卫生—外科学]