Acute Appendicitis Presenting withEscherichia coliBacteremia without Perforation in a Healthy Male

Seung Jin Lim, Kwon-Oh Park, Jin-Gu Kang, Jin-Seo Lee, Joong-Sik Eom
2011 Infection & Chemotherapy  
Acute appendicitis is the most frequent cause of acute abdomen. However, bacteremia in patient with acute appendicitis is rare. A 34-year-old male patient presenting with fever and abdominal discomfort for two days showed leukocytosis, elevated C-reactive protein and erythrocyte sedimentation rate. Gram-negative rods were cultured in blood and empirical ceftriaxone was injected intravenously. On abdominal CT, wall enhanced and distended retrocecal appendix was recognized. Appendectomy was
more » ... med, which revealed suppurative inflammation without perforation. We report a case of acute appendicitis without perforation associated with Escherichia coli sepsis and atypical clinical manifestations in a healthy male.
doi:10.3947/ic.2011.43.2.210 fatcat:wgpj4jlolzbl7ecy2zpyt3nb44