Department of General Surgery, General University Hospital of Patras, Patras, Greece.
Department of Pediatrics, Neonatal Intensive Care Unit, General University Hospital of Patras, Patras, Greece.
Pan Afr Med J. 2020 Aug 14;36:283. doi: 10.11604/pamj.2020.36.283.24834. eCollection 2020.
Appendicitis is one of the most common abdominal conditions requiring emergency surgery. However, acute appendicitis in patients with leukemia is a rare condition. We report herein the case of an 18-year-old female with acute lymphoblastic leukemia (ALL), who was hospitalized in hematology department because of abdominal pain and fever. Ultrasound (US) of the abdomen revealed appendicitis and the patients underwent open appendectomy. The patient recovered without complications and was discharged in a good condition. The day of the operation blood and peritoneal fluid cultures were taken and Roseomonas gilardii was detected and healed empirically. The correct diagnosis of appendicitis in patients with leukemia and their management is challenging for physicians. Very rare microorganisms can be detected in these patients.
阑尾炎是最常见的需要紧急手术的腹部病症之一。然而，白血病患者的急性阑尾炎是一种罕见的情况。我们在此报告一例 18 岁女性急性淋巴细胞白血病（ALL）患者，因腹痛和发热入住血液科。腹部超声（US）显示阑尾炎，患者行开腹阑尾切除术。患者术后恢复顺利，无并发症，痊愈出院。手术当天采集血和腹腔液培养，检出罗尔斯通氏菌（Roseomonas gilardii）并经验性治疗。对于医生来说，白血病患者阑尾炎的正确诊断和处理具有挑战性。这些患者中可能会检测到非常罕见的微生物。
