Streptococcus pneumoniae appendicitis in an adult patient

Caierão, Juliana; Cornely, Ana Flor Hexel; Cunha, Gabriela Rosa da; Mott, Mariana; Zavascki, Alexandre Prehn; Dias, Cícero

doi:10.1016/j.ajem.2014.12.051

Cited by 5 publications

(8 citation statements)

References 15 publications

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“…In Casablanca, vaccination has considerably reduced the prevalence of multiresistant serotypes, which were often associated with some of the prevaccination serotypes covered by PCV, such as 9V, 6B, 14, 19A, 19F, and 23F [10]. However, only a handful reported the serotypes of the isolated strains: serogroup 19 was the most prevalent followed by serotype 3 [5]. Concerning our case, a NVS was found.…”

Section: Discussionmentioning

confidence: 49%

“…Few articles report microbiological characteristics in case reports. As in ours, the majority reported S. pneumoniae strains that were sensitive to most tested antibiotics [5,6,8]. In Casablanca, vaccination has considerably reduced the prevalence of multiresistant serotypes, which were often associated with some of the prevaccination serotypes covered by PCV, such as 9V, 6B, 14, 19A, 19F, and 23F [10].…”

Section: Discussionmentioning

confidence: 57%

“…e etiology of appendicitis is usually polymicrobial and associated with common intestinal pathogens, which corresponds to our case. However, in most reported cases of pneumococcal appendicitis, S. pneumoniae was detected in pure cultures and that make our case a rare occurrence [5][6][7][8].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

A Rare Case of Pneumococcal Appendicitis in a Child

Chikhaoui

Nzoyikorera

Mouadden

et al. 2022

Case Reports in Pediatrics

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Appendicitis is the most common cause for abdominal surgery in children. It is usually caused by Escherichia coli and Streptococcus species and is generally polymicrobial. However, Streptococcus pneumoniae is a rare cause of appendicitis. We report a rare case of pneumococcal appendicitis in a 7-year-old child with no underlying conditions, in association with E. coli and group F β-hemolytic Streptococcus. The isolated pneumococcal strain was sensible to all tested antibiotics. The patient had a full recovery after surgery and antibiotics. This case emphasizes that S. pneumoniae can cause a variety of unusual infections like appendicitis, in patients with or without underlying conditions. Thus, even though being a rare entity, physicians should always be aware of S. pneumoniae as a possible causative agent.

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Section: Discussionmentioning

confidence: 49%

Section: Discussionmentioning

confidence: 57%

See 1 more Smart Citation

A Rare Case of Pneumococcal Appendicitis in a Child

Chikhaoui

Nzoyikorera

Mouadden

et al. 2022

Case Reports in Pediatrics

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“…To our knowledge (Table 1), this is the first case report on concurrent severe S. pneumoniae pneumonia and enteritis without any complaints from the respiratory system in a severely immunosuppressed patient in the last 26 years (1993-2018) [24][25][26][27][28], for the reasons discussed below. Due to the patient's CD4+ count < 100 cells/ml, he was vulnerable to a plenty of causes, including opportunistic infections.…”

Section: Discussionmentioning

confidence: 87%

Rare case of Streptococcal enteritis in HIV patient

Kotsogianni¹,

Panos²

2020

HIV & AIDS Review

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“…We analyzed all cases reported in the literature [18–60]. Pediatric cases [19–21], secondary peritonitis [21, 22], and cases arising in patients with ongoing predisposing conditions [23–25] were excluded. All other papers were reviewed in order to evaluate real cases of PP (Table 1) [26, 31, 32, 34–40, 44–51, 53, 54, 56–60].…”

Section: Discussionmentioning

confidence: 99%

Streptococcus pneumoniae primary peritonitis mimicking acute appendicitis in an immunocompetent patient: a case report and review of the literature

Cortese

Fransvea²,

Saputelli

et al. 2019

J Med Case Reports

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Introduction Primary peritonitis without an identifiable intra-abdominal source is extremely rare in healthy individuals; it is commonly seen in cases of nephrotic syndrome, cirrhosis and end-stage liver disease, ascites, immunosuppression, and inflamed peritoneum due to pre-existing autoimmune and oncological conditions. Case presentation We present the case of a 68-year-old Caucasian woman operated on due to acute abdomen with a provisional diagnosis of acute appendicitis. During the operation a small amount of free intra-abdominal fluid was found. Her uterus, ovaries, and fallopian tubes were macroscopically normal. Therefore, with the suspicion of appendicitis, appendectomy was performed. Her blood cultures were negative while peritoneal fluid was positive for capsulated form of Streptococcus pneumoniae . A 30-day follow-up was performed and she was asymptomatic without any sign of infection. Discussion Streptococcus pneumoniae commonly causes upper respiratory tract infection and cutaneous infections. It very rarely causes gastrointestinal infection and it is very rarely responsible for primary peritonitis and septic shock syndrome. Conclusion Pneumococcal peritonitis has a rare occurrence and represents a clinical challenge because of its subtle and non-specific clinical findings. The interest in our case lays in the relatively rare diagnosis of primary peritonitis mimicking acute appendicitis.

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Streptococcus pneumoniae appendicitis in an adult patient

Cited by 5 publications

References 15 publications

A Rare Case of Pneumococcal Appendicitis in a Child

A Rare Case of Pneumococcal Appendicitis in a Child

Rare case of Streptococcal enteritis in HIV patient

Streptococcus pneumoniae primary peritonitis mimicking acute appendicitis in an immunocompetent patient: a case report and review of the literature

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