Appendiceal spirochaetosis in children

Westerman, Laurens J.; Schipper, Marguérite E.I.; Stel, H. V.; Bonten, Marc J. M.; Kusters, Johannes G.

doi:10.1186/1757-4749-5-40

Cited by 5 publications

(1 citation statement)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Henrik-Nielsen et al [ 7 ] found 13 cases in a series of 681 surgically removed appendices with spirochetes in otherwise histologically normal appendices (pseudoappendicitis). Westerman et al [ 8 ] analyzed 142 appendices removed from children. They found five positive specimens for spirochetes in patients with and without acute appendicitis.…”

Section: Introductionmentioning

confidence: 99%

Spirochetosis Mimicking Acute Appendicitis: Clinical Report and Review of the Literature

Lüthy,

Käser,

Wagener

et al. 2023

Inflamm Intest Dis

View full text Add to dashboard Cite

Introduction: Intestinal spirochetosis is sometimes found by chance in histological specimen of routine endoscopies. There are only a few cases described in the literature that spirochetosis of the appendix was mimicking acute appendicitis. We present a case of pseudoappendicitis with the histological finding of spirochetes and review the current literature. Case Presentation: A 72-year-old woman presented with pain of the lower right abdomen and previous systemic corticoid therapy. In clinical examination, there was a tenderness and pain in the right lower quadrant, and inflammation values were elevated. An abdominal computed tomography scan revealed no obvious inflammation of the appendix. A diagnostic laparoscopy was performed and revealed a macroscopically uninflamed appendix which was removed. Histology revealed spirochetosis of the appendix but no typical signs of appendicitis. The patient was treated with antibiotics for 5 days and was discharged without abdominal pain. In a clinical control 6 weeks later, the abdominal pain had disappeared and the patient was in good clinical condition. Discussion: Intestinal spirochetosis is randomly found in histological specimen during routine endoscopies, even in asymptomatic patients. There are only a few cases described with spirochetosis of the appendix causing pain and mimicking appendicitis; hence, this entity is an important differential diagnosis of pain in the right lower quadrant of the abdomen.

show abstract

Section: Introductionmentioning

confidence: 99%