Enteric appendicitis: An unusual complication of enteric fev
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Acute appendicitis is one of the most common surgical emergencies; however, appendicitis occurring as a complication of enteric fever is described in as only few case reports in the literature. Although appendicitis and enteric fever are two distinct entities; however, rarely there could be an association also. We present an unusual case of enteric fever, which also had radiological features suggestive of appendicular lump, and managed conservatively. Case Report: We present an 11-year-old boy admitted with fever, loose stools, vomiting, diffuse abdominal pain, and hepatosplenomegaly. Ultrasound and contrast enhanced computerized tomography of the abdomen was suggestive of appendicular lump. Widal done on day 8 showed elevated TO (1:320) and TH titers (1:80); repeat Widal on day 15 was suggestive of increasing titers (TO-1:320, TH-1:160). The patient improved with conservative management with intravenous ceftriaxone and azithromycin. This case highlights that appendicitis could rarely present as a complication of enteric fever in children; which may not always need surgery. In such cases, early initiation of appropriate antibiotics for enteric fever is curative....

http://bit.ly/2faB7Tu
Preview
N●●●●a K●●●r S●●●●m and 1 others like this
Like
Comment
Share