title: [Acute appendicitis and coinfection with enterobiasis and taeniasis: a case report].
abstract: Parasites are rarely associated with inflammation of the appendix. Generally, parasites cause acute abdominal pain via blocking the gut lumen. In this article, we presented a case of appendicitis where Enterobius vermicularis was detected in the surgical specimen and Taenia was detected in the stool. A 31 year old male patient was admitted to the emergency room with severe abdominal pain, which has begun two days ago. On physical examination, tenderness was positive on palpation of the right lower abdominal quadrant and the patient was operated on with the diagnosis of acute appendicitis. Histopathological examination of the patient's appendectomy material revealed numerous parts of parasites resembling Enterobius vermicularis and slight mucosal erosion. On parasitological examination of the patient's stool, Taenia eggs and adult forms were determined. Antiparasitic therapy was started with niclosamide for taeniasis and albendazole for enterobiasis. Parasitic infections can mimic acute appendicitis clinically. Radiological and laboratory findings do not help to distinguish the diagnosis of acute appendicitis. In the histopathological examination of the appendix, the findings of acute inflammation of the appendix wall may not be defined. For patients with normal histopathological examination, screening for parasites should be done, and anti-parasitic treatment should be started after appendectomy.
authors.affiliation: Dokuz Eylül Üniversitesi Tıp Fakültesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, İzmir, Türkiye.
authors.forename: Gülhan
authors.initials: G
authors.lastname: Çallı
authors.forename: Mücahit
authors.initials: M
authors.lastname: Özbilgin
authors.forename: Nur
authors.initials: N
authors.lastname: Yapar
authors.forename: Sülen
authors.initials: S
authors.lastname: Sarıoğlu
authors.forename: Soykan
authors.initials: S
authors.lastname: Özkoç
mesh_terms: D000208:Acute Disease; D000328:Adult; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D001062:Appendectomy; D001064:Appendicitis / Q000188:drug therapy / Q000469:parasitology* / Q000473:pathology / Q000601:surgery; D001065:Appendix / Q000469:parasitology; D060085:Coinfection; D017229:Enterobiasis / Q000188:drug therapy / Q000469:parasitology* / Q000473:pathology / Q000601:surgery; D004757:Enterobius / Q000302:isolation & purification; D005243:Feces / Q000469:parasitology; D006801:Humans; D008297:Male; D013621:Taenia / Q000302:isolation & purification; D013622:Taeniasis / Q000188:drug therapy / Q000469:parasitology* / Q000473:pathology / Q000601:surgery
chemical_list: D000871:Anthelmintics