건강한 남자에서 Escherichia coli 균혈증으로 발현된 비천공성 급성충수염 1예
Acute Appendicitis Presenting with Escherichia coli Bacteremia without Perforation in a Healthy Male
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Acute appendicitis is the most frequent cause of acute abdomen. However,bacteremia in patient with acute appendicitis is rare. A 34-year-old male patient presenting with fever and abdominal discomfort for two days showed leukocytosis,elevated C-reactive protein and erythrocyte sedimentation rate. Gram-negative rods were cultured in blood and empirical ceftriaxone was injected intravenously. On abdominal CT, wall enhanced and distended retrocecal appendix was recognized. Appendectomy was performed, which revealed suppurative inflammation without perforation. We report a case of acute appendicitis without perforation associated with Escherichia coli sepsis and atypical clinical manifestations in a healthy male.
Abstract
Acute appendicitis is the most frequent cause of acute abdomen. However,bacteremia in patient with acute appendicitis is rare. A 34-year-old male patient presenting with fever and abdominal discomfort for two days showed leukocytosis,elevated C-reactive protein and erythrocyte sedimentation rate. Gram-negative rods were cultured in blood and empirical ceftriaxone was injected intravenously. On abdominal CT, wall enhanced and distended retrocecal appendix was recognized. Appendectomy was performed, which revealed suppurative inflammation without perforation. We report a case of acute appendicitis without perforation associated with Escherichia coli sepsis and atypical clinical manifestations in a healthy male.
참고문헌 (4)
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- 황미원, "문맥염: 충수염의 합병증으로 발생한 증례 보고와 국내에서 보고 된 증례 고찰", Infection and Chemotherapy, 42(3), pp.203~207 (2010), 대한감염학회