Acta Pediátrica Española

ISSN 2014-2986

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  • Num_publicacion 76(1-2)
  • Resumen_ingles
    Introduction: Certain enteroinvasive germs which cause diarrhea, such as Salmonella, can produce acute abdomen in a small per-centage of cases. Acute appendicitis is the most frequent surgical emergency at pediatric ages and it may be diagnosed late due to the presence of associated diarrhea. 
    Case report: We present a clinical case of an 11-year-old female patient with diarrhea, vomiting, abdominal pain and a positive stool test for D9 Salmonella. Initially, neither the abdominal exam nor the complementary tests allowed to dismiss the possibility of acute appendicitis, so the patient was admitted for surveillance. While admitted, she presented a torpid evolution. On the 9th day of admis-sion, an abdominal ultrasound confirmed an image compatible with appendicular inflammatory mass, so an open appendectomy was performed. The patient’s final diagnosis was salmonellosis with perforated acute appendicitis and peritonitis.
    Conclusion: It is necessary to have in mind a possible diagnosis of appendicitis for patients whose abdominal examination suggests a surgical pathology, even if they suffer from acute gastroenteritis. When in doubt about the diagnosis, carrying out the necessary complementary tests is crucial for a right diagnosis and, if necessary, a surgical treatment.
     
  • Palabras_clave_ingles Gastroenteritis Salmonella Appendicitis Children
  • Todos_autores A. Castilla Sanz1, R. López López2, M. Bret Zurita3, M. de Ceano-Vivas la Calle2
  • autores listados A. Castilla Sanz, R. López López, M. Bret Zurita, M. de Ceano-Vivas la Calle
  • Correspondecia
    A. Castilla Sanz. Bahía de Alicante, 56, bajo A. 28042 Madrid.
    Correo electrónico: ainhoacastillasanz@gmail.com
  • Titulo_ingles Association between acute enteroinvasive gastroenteritis and appendicitis: A case report
  • Centros_trabajo 1Servicio de Pediatría. 2Servicio de Urgencias Pediátricas. Profesor colaborador docente. Universidad Autónoma de Madrid. 3Servicio de Radiodiagnóstico. Radiología Pediátrica. Hospital Universitario La Paz. Madrid
  • Publicado en Acta Pediatr Esp. 2018; 76(1-2): e14-e16
  • copyright ©2018 Ediciones Mayo, S.A.
  • Fecha recepcion 9/10/16
  • Fecha aceptacion 10/01/17
  • Tipo de Artículo Clínico (Microdatos) Case Reports
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