Aggarwal Monika, Sharma Sanjay, Tewari Rohit, Gupta R M, Naithani N
Classified Specialist (Pathology), Base Hospital, Delhi Cantt., India.
Senior Advisor (Surgery) & GI Surgery, Base Hospital, Delhi Cantt., India.
Med J Armed Forces India. 2022 Apr;78(2):232-234. doi: 10.1016/j.mjafi.2020.01.008. Epub 2020 Mar 19.
Parasitic infections of the intestine are a major health problem, which is found more prevalent in developing countries such as India. They are one of the important causes of morbidity and mortality among people all over the world. Acute amoebic appendicitis is a rare entity. We came across a case of acute appendicitis in a young pregnant woman, which revealed colonies of trophozoites in the mucosal epithelium and submucosal layer of the appendix with marked evidence of acute appendicitis. This report highlights acute appendicitis of amoebic origin and emphasises the importance of thorough examination of the appendix at various levels during histopathology and about the combined treatment of appendicectomy combined with antimicrobials as the treatment of choice. Appendicectomy removes the focus of infection, and antimicrobials reduce the incidence of septic complications.
肠道寄生虫感染是一个主要的健康问题，在印度等发展中国家更为普遍。它们是全世界人群发病和死亡的重要原因之一。急性阿米巴性阑尾炎是一种罕见的病症。我们遇到一例年轻孕妇的急性阑尾炎病例，在阑尾的黏膜上皮和黏膜下层发现滋养体菌落，并有明显的急性阑尾炎证据。本报告强调了阿米巴源性急性阑尾炎，并强调了在组织病理学检查过程中对阑尾各层面进行全面检查的重要性，以及阑尾切除术联合使用抗菌药物作为首选治疗方法的重要性。阑尾切除术可消除感染病灶，抗菌药物可降低败血症并发症的发生率。
