Infect Chemother.  2011 Apr;43(2):210-212. 10.3947/ic.2011.43.2.210.

Acute Appendicitis Presenting with Escherichia coli Bacteremia without Perforation in a Healthy Male

• Lim SJ
• Park KO
• Kang JG
• Lee JS
• Eom JS

• KMID: 1782364
• DOI: http://doi.org/10.3947/ic.2011.43.2.210

Abstract

Acute appendicitis is the most frequent cause of acute abdomen. However, bacteremia in patient with acute appendicitis is rare. A 34-year-old male patient presenting with fever and abdominal discomfort for two days showed leukocytosis, elevated C-reactive protein and erythrocyte sedimentation rate. Gram-negative rods were cultured in blood and empirical ceftriaxone was injected intravenously. On abdominal CT, wall enhanced and distended retrocecal appendix was recognized. Appendectomy was performed, which revealed suppurative inflammation without perforation. We report a case of acute appendicitis without perforation associated with Escherichia coli sepsis and atypical clinical manifestations in a healthy male.

Keyword

Appendicitis; Escherichia coli; Bacteremia

MeSH Terms

Abdomen, Acute
Adult
Appendectomy
Appendicitis
Appendix
Bacteremia
Blood Sedimentation
C-Reactive Protein
Ceftriaxone
Escherichia
Escherichia coli
Fever
Humans
Inflammation
Leukocytosis
Male
Sepsis
C-Reactive Protein
Ceftriaxone

Figure

• 

  Figure 1 Computed tomographic scan of the abdomen demonstrates a distended (diameter 10.23 mm) retrocecal appendix with an enhancing wall (arrow. A; transverse view, B; coronal view) and periappendiceal fat stranding.

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