title: Not all inflammation in the right lower quadrant is appendicitis: a case report of Escherichia coli O157:H7 with a review of the literature.
abstract: Although significant work has been presented on this subject in pediatric, infectious disease, and epidemiologic literature, there is a noteworthy lack of information on Escherichia coli O157:H7 in any surgical journals. As this disease can present with signs and symptoms often ascribed to the acute abdomen, it is imperative that the general surgeon, pediatric surgeon, and colorectal surgeon are all familiar with this infection and its clinical ramifications. A case report followed by a review of the literature is presented.
authors.affiliation: Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida 33331, USA.
authors.forename: Seth A
authors.initials: SA
authors.lastname: Rosen
authors.forename: Steven D
authors.initials: SD
authors.lastname: Wexner
authors.forename: Sherry
authors.initials: S
authors.lastname: Woodhouse
authors.forename: Patrick
authors.initials: P
authors.lastname: Colquhoun
authors.forename: Eric G
authors.initials: EG
authors.lastname: Weiss
authors.forename: Juan J
authors.initials: JJ
authors.lastname: Nogueras
authors.forename: Jonathan
authors.initials: J
authors.lastname: Efron
authors.forename: Anthony
authors.initials: A
authors.lastname: Vernava
mesh_terms: D000208:Acute Disease; D000328:Adult; D001064:Appendicitis / Q000175:diagnosis*; D001707:Biopsy, Needle; D003093:Colitis, Ulcerative / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy; D003113:Colonoscopy / Q000379:methods; D003937:Diagnosis, Differential; D004927:Escherichia coli Infections / Q000175:diagnosis* / Q000628:therapy; D019453:Escherichia coli O157 / Q000302:isolation & purification*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D007413:Intestinal Mucosa / Q000382:microbiology / Q000473:pathology; D010956:Plasmapheresis / Q000379:methods; D018570:Risk Assessment; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome