RESUMEN
Campylobacter infection usually starts in the jejunum and ileum and progresses distally. The case fatality rate is low and most occur in elderly or patients with comorbidity as in this case. Antibiotics should be used in severe cases or patients at risk. The choices are macrolides and fluoroquinolones. However, in some countries quinolone resistance is increasing, as in Spain. We shouldn´t forget this fact for the proper treatment approach and specifically in refractory cases.
Asunto(s)
Infecciones por Campylobacter/microbiología , Campylobacter jejuni , Colitis/microbiología , Ileítis/microbiología , Anciano , Infecciones por Campylobacter/complicaciones , Infecciones por Campylobacter/terapia , Campylobacter jejuni/efectos de los fármacos , Colitis/complicaciones , Colitis/terapia , Enfermedad de Crohn/complicaciones , Farmacorresistencia Bacteriana , Resultado Fatal , Humanos , Ileítis/complicaciones , Ileítis/terapia , MasculinoRESUMEN
Chronic complications of acute appendicitis managed in a conservative manner are not frequent. We present a case of acute lower gastrointestinal hemorrhage in a young patient with a previous acute appendicitis without surgical intervention. The colonoscopy detected an appendicular bleeding which was surgically treated. The anatomopathological diagnosis was granulomatous appendicitis. The clinical evolution of the patient was favorable without bleeding recurrence. Appendicular hemorrhage can be an unusual complication-however potentially severe-of acute appendicitis not treated surgically.
