Acute appendicitis caused by enterohemorrhagic Escherichia coli infection in pediatric patients

• SAEKI Y

  First Department of Surgery, Kinki University School of Medicine

• OKUNO Kiyotaka

  First Department of Surgery, Kinki University School of Medicine

• MATSUMOTO Hirokazu

  Department of Surgery, Sakai Onshinkai Hospital

• FUJII Yoshinori

  Department of Surgery, Sakai Onshinkai Hospital

• KOH Kenzo

  First Department of Surgery, Kinki University School of Medicine

• NAKAI Takuya

  First Department of Surgery, Kinki University School of Medicine

• YASUTOMI Masayuki

  First Department of Surgery, Kinki University School of Medicine

抄録

During the outbreak of food-borne disease caused by enterohemorrhagic Escherichia coli (O157) in Sakai, Osaka, 984 patients were treated at Sakai Onshinkai Hospital, a satellite hospital. Twelve patients were underwent appendectomy following diagnosis of acute appendicitis. They were school children who ate polluted school lunch by O157. Bacterial culture tests were performed in 10 of 12 cases. Based on surgical findings and macroscopic observation of them, was diagnosed as phlegmonous in 6 patients and catarrhal in 4 patients. The bacterial culture test revealed O157 in 2 of the 4 patients with localized appendicitis and 3 of 6 patients with appendicitis associated with ileocecitis. This result suggested a relationship between O157 and acute appendicitis. Accordingly, appendectomy is recommended in patients with O-157 infection when acute appendicitis is strongly suspected.

収録刊行物

• Acta Med Kinki University

  Acta Med Kinki University 24 55-57, 1999

  近畿大学

キーワード

• enterohemorrhagic Escherichia coli
• acute appendicitis

詳細情報

• CRID: 1570854176779488768
• NII論文ID: 110000587349
• NII書誌ID: AA0050842X
• ISSN: 03866092
• Web Site: https://search.jamas.or.jp/link/ui/2001157549
• 本文言語コード: en
• データソース種別:
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