[Association of streptococcal pharyngitis with complicated appendicitis].
Streptococcal pharyngitis can be accompanied by right lower abdominal quadrant pain, which often is linked to mesenteric adenitis. We report on a case of such misleading association in a child.


METHODS
A 6-year-old child presented pain in the right lower abdominal quadrant and fever with 39 degrees C temperature for 24 h; clinical examination showed pharyngeal erythema and local abdominal tenderness. Strep-test was positive. Abdominal ultrasound visualized signs of appendicitis. The child was operated on for complicated appendicitis.


CONCLUSIONS
The association of pharyngitis and appendicitis is particularly misleading because mesenteric adenitis is the most common cause of right lower quadrant tenderness in children with pharyngitis.
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Service de chirurgie générale, centre hospitalier de l'agglomération montargoise, 658, rue des Bourgoins, BP 725, 45207 Montargis, France. le.pierre@wanadoo.fr
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Ramaheriarison
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D001062:Appendectomy; D001064:Appendicitis / Q000150:complications* / Q000382:microbiology / Q000601:surgery; D002648:Child; D004926:Escherichia coli / Q000302:isolation & purification; D005260:Female; D006801:Humans; D010612:Pharyngitis / Q000150:complications* / Q000382:microbiology*; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D013290:Streptococcal Infections / Q000150:complications