Martin D L, Gustafson T L
Am J Surg. 1985 Nov;150(5):554-7. doi: 10.1016/0002-9610(85)90435-0.
A cluster of cases of appendicitis occurred primarily in school-age boys in a small Texas town. The expected rate of appendicitis is 1.5 cases per 1,000 persons, or about 1 case per month in that town. However, in the spring of 1984, 13 cases, 10 in school-age boys, occurred. In eight of these patients, the initial onset of abdominal pain occurred over a 15 day period. A case controlled study of school-age patients indicated that sweets in the diet and consumption of local farm eggs may have been associated with the appendicitis. We hypothesize that a group of young male patients who were susceptible to appendicitis because of the high sugar content of their diets were exposed to a bacterium or virus that precipitated this outbreak of appendicitis.
在得克萨斯州的一个小镇上，一群阑尾炎病例主要发生在学龄男孩中。阑尾炎的预期发病率为每1000人中有1.5例，即在那个镇上每月约有1例。然而，在1984年春天，出现了13例病例，其中10例为学龄男孩。在这些患者中，有8例腹痛最初发作是在15天内。一项针对学龄患者的病例对照研究表明，饮食中的甜食和食用当地农场鸡蛋可能与阑尾炎有关。我们推测，一群因饮食中高糖含量而易患阑尾炎的年轻男性患者接触到了一种细菌或病毒，从而引发了这次阑尾炎疫情。
