Intestinal spirochetosis presenting as acute appendicitis | Zendy

Siham Zerhouni | Zendy; Adrienne Melck | Zendy; Samuel P. Bugis | Zendy

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Intestinal spirochetosis presenting as acute appendicitis

Author(s) -

Siham Zerhouni,

Adrienne Melck,

Samuel P. Bugis

Publication year - 2012

Publication title -

journal of surgical case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.14

H-Index - 3

ISSN - 2042-8812

DOI - 10.1093/jscr/2012.3.6

Subject(s) - medicine , appendix , cecum , acute appendicitis , appendicitis , etiology , differential diagnosis , infectious disease (medical specialty) , general surgery , disease , pathology , intensive care medicine , paleontology , biology

Acute appendicitis is a frequent pathology encountered by general surgeons. On the differential of aetiologies that can lead to this diagnosis lies the spectrum of infectious disease. We present a case report of a patient who presented to our institution as a classic acute appendicitis. Upon histological analysis it became evident that he had spirochetosis of the cecum and appendix. This paper reviews the literature on this rare infectious aetiology. A synopsis of the microbiology, epidemiology, clinical manifestations and treatments for intestinal spirochetosis is described. At large, the aim of this paper is to heighten awareness of this disease amongst clinicians and specifically surgeons.

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