Franklin Haley, Glosemeyer Katherine, Hassoun Ali
Alabama College of Osteopathic Medicine, Dothan, Alabama, USA.
University of Alabama at Birmingham, Birmingham, Alabama, USA.
BMJ Case Rep. 2019 Aug 4;12(8):e230419. doi: 10.1136/bcr-2019-230419.
A 39-year-old Caucasian woman presented to the emergency department with worsening abdominal pain, localised to the right lower quadrant, and diarrhoea for a week. Stool tested negative for , and Following an abdominal CT, she was diagnosed with appendicitis. The histological preparation, along with the acute inflammatory changes of the vermiform appendix, was notable for clusters of small, basophilic spherical bodies most consistent with infection. Ultimately, the patient was diagnosed with appendicitis secondary to infection. This is exceedingly rare and only one other case has been previously reported.
一名39岁的白种女性因右下腹部疼痛加剧并伴有腹泻一周而被送往急诊科。粪便检测、和均为阴性。腹部CT检查后，她被诊断为阑尾炎。组织学检查发现，除了阑尾的急性炎症变化外，还可见成簇的小的嗜碱性球形体，最符合感染。最终，该患者被诊断为感染继发的阑尾炎。这极为罕见，此前仅报告过一例。
