Acute abdomen probably caused by acute tuberculous appendicitis. A case report

Iatreia

Loria-Castellanos, Jorge¹  Rodríguez-Lima, Felipe²  Romero-Figueroa, María del Socorro³  Rodríguez-Pérez, Fabiola³  Alvarado-Ortega, Iván⁴  Montiel-Jarquín, Álvaro José⁴ 

[1] Academia Nacional de Educación Médica. México;Hospital General Regional No. 36 de Puebla. México;Instituto Mexicano del Seguro Social. México;Universidad Popular Autónoma del Estado de Puebla (UPAEP). México;

关键词: Acute abdomen;    Appendicitis;    Tuberculosis;   

DOI  :  10.17533/udea.iatreia.v30n3a07

来源: DOAJ

【 摘 要 】

Background: Acute tuberculous appendicitis is a rare disease. It constitutes from 0.001 % to 0.01 % of the clinical forms of tuberculosis. We present cases of such disease as probably cause for surgical acute abdomen. Case report: Male aged 29 with mild to moderate diffuse abdominal pain, which intensified and localized in the right lower quadrant of the abdomen, fever, vomiting, malaise, leukocytosis (11,300/µL) and 91 % neutrophils. Appendectomy was performed, the histopathological report was acute appendicitis, Ziehl-Neelsen stain was positive. Three days later he returned home and had no short- or long term complications. Conclusion: Acute tuberculous appendicitis is a rare disease that may cause acute abdomen, patients should receive drug treatment to eradicate the cause and have proper epidemiological monitoring.

【 授权许可】

Unknown