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November 1, 2007Southern Medical Journal

Amebiasis Presenting as Acute Appendicitis

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Authors

JAJavier AndradeRMRaul MederosHRHaidy G. Rivero

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Overview

Case report reveals Entamoeba histolytica infection mimicking acute appendicitis in an adult male, highlighting the diagnostic value of pathologic review and antiparasitic therapy.

Key Points

  • To report an unusual case of amebiasis that clinically presented as acute appendicitis and describe its surgical and medical management.
  • Assessed a 38-year-old Hispanic male presenting with clinical signs and symptoms of acute appendicitis.
  • Conducted a laparoscopic appendectomy followed by histopathological examination of the appendix and subsequent oral metronidazole therapy.
  • Histopathologic evaluation of the resected appendix identified multiple trophozoites of Entamoeba histolytica.
  • Postoperative antiparasitic treatment with metronidazole cleared the infection, confirmed by negative follow-up stool analyses and complete absence of residual symptoms.

Cite This Study

Andrade et al. (2007) studied this question.

synapsesocial.com/papers/6a87a64e5bd561ae69aca11ahttps://doi.org/10.1097/smj.0b013e318158326f
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Acute Amebic Appendicitis2006 · 29 citations
  2. 2Suspected acute appendicitis: trends in management over 30 years2001 · 180 citations
  3. 3Pathology of tropical appendicitis.1989 · 96 citations