ABSTRACT
We report an unusual case of appendicitis in a 9-year-old girl in whom the wall of the appendix contained necrotizing granulomas, as well as eggs of Enterobius vermicularis. Although luminal E vermicularis adult parasites are commonly identified in the appendix and luminal eggs are occasionally seen, intramural worms and eggs are rare. We are unaware of earlier reports of ectopic intramural eggs in the appendix. It is important to and make a correct diagnosis, as both, the patient, as well as the family should be treated for enterobiasis.
Subject(s)
Appendicitis , Appendix , Enterobiasis , Animals , Appendicitis/diagnosis , Appendicitis/surgery , Appendix/surgery , Child , Enterobiasis/diagnosis , Enterobiasis/parasitology , Enterobius , Female , Granuloma , HumansABSTRACT
We describe typhoid appendicitis in a 19-year-old girl. The appendix showed aggregates of macrophages in the mucosa and in the wall. Blood culture yielded Salmonella enterica serovar Typhi. The presence of macrophages in an appendicectomy specimen should prompt the pathologist to consider the possibility of typhoid fever, even in the absence of supporting microbiological investigations.
