| Eosinophilic appendicitis caused by Schistosoma japonicum: a case report and review of the literature. | |
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MedLine Citation:
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PMID: 21073026 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Parasitic appendicitis is uncommon. The authors reviewed the pathology of 4,130 appendices resected over the past 10 years (2000 to 2009). Only one case of eosinophilic appendicitis caused by Schistosoma japonicum was identified. The overall prevalence of schistosomal appendicitis was 0.024%. The case was a 61-year-old woman who presented with right lower quadrant abdominal pain. She had been a farmer in Chumphon and Surat Thani Provinces, which are endemic for schistosomiasis in Thailand. Physical, laboratory and ultrasound examinations were suggestive of acute appendicitis. She underwent emergency appendectomy. Intraoperative findings revealed a ruptured appendix with a fecalith in the appendiceal lumen. The histopathologic diagnosis was suppurative eosinophilic appendicitis with schistosomal ova in the mucosa, submucosa, muscular layer and vascular lumens, identified as S. japonicum eggs. The patient was treated for the parasite with praziquantal. We briefly review the clinicopathologic features and pathogenesis of schistosomal appendicitis. |
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Authors:
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Wasana Kanoksil; Noppadol Larbcharoensub; Pannathat Soontrapa; Sith Phongkitkarun; Suthus Sriphojanart; Prawat Nitiyanant |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: The Southeast Asian journal of tropical medicine and public health Volume: 41 ISSN: 0125-1562 ISO Abbreviation: Southeast Asian J. Trop. Med. Public Health Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-11-15 Completed Date: 2010-12-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0266303 Medline TA: Southeast Asian J Trop Med Public Health Country: Thailand |
Other Details:
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Languages: eng Pagination: 1065-70 Citation Subset: IM |
Affiliation:
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Division of Anatomical Pathology, Department of Pathology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anthelmintics
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therapeutic use Appendectomy Appendicitis / parasitology*, surgery, ultrasonography Combined Modality Therapy Eosinophilia / parasitology*, surgery, ultrasonography Female Humans Middle Aged Praziquantel / therapeutic use Schistosomiasis / complications*, drug therapy, surgery, ultrasonography |
| Chemical | |
Reg. No./Substance:
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0/Anthelmintics; 55268-74-1/Praziquantel |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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