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2008, Number 3

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Cir Gen 2008; 30 (3)

Frequency of appendicitis related to parasites, tuberculosis, and salmonellosis in the General Hospital of Mexico, from 1975 to 1990. Analysis of 4,679 cases

Montalvo-Javé EE, Alarcón BL, Mosqueira MC, Athié GC

Language: Spanish
References: 22
Page: 136-140
PDF size: 113.15 Kb.


ABSTRACT

Objective: To establish the frequency of appendicitis associated with the presence of parasites, bacteria, or fungi in an open population.
Design: Retrospective, observational, descriptive study.
Setting: General Hospital of Mexico City, Mexico.
Material and methods: We reviewed 177 749 autopsy reports from the pathology archives of the General Hospital of Mexico City, Mexico. Of these, 4,679 corresponded to excised appendix pieces based on the diagnosis of appendicitis in children and adults. Appendicectomies were performed in the emergency, general surgery, and pediatric surgery services.
Results: Of the 4,679 cases of acute appendicitis, 30 (0.64%) were associated to parasites, bacteria or fungi, with an average age of 26 years (range, 10-73), 53% were men and 47% were women. In the group of patients with parasite findings, 22 cases were associated to: Ascaris lumbricoides (23%, n = 7), Enterobius vermicularis (17%, n = 5), Entamoeba histolytica (17%, n = 5), Trichiuris trichiuria (10%, n = 3), non classified helminth (3%, n = 1), non-classified eggs (3%, n = 1). Additionally, Salmonella (13%, n = 4), tuberculosis bacilli (10%, n=3), and Candida (3%, n = 1) were observed.
Conclusion: The causal agent most frequently associated to acute appendicitis in our series was Ascaris lumbricoides, followed by Enterobius vermicularis, and Entamoeba histolytica.


REFERENCES

  1. Lamps LW. Appendicitis and infections of the appendix. Semin Diagn Pathol 2004; 21: 86-97.

  2. Rodríguez LJ, Echevarria RR, González MP, Linares DJ, Kessel BE. Apendicitis y parasitismo. Análisis de 1,030 apendicetomías. Rev Cubana Med Trop 1983; 35: 276-283.

  3. Ramos ME, Gómez DA, Hernández HP, Hernández M, Méndez SMC, Sánchez SM, Szymanski GJJ. Patología quirúrgica del apéndice cecal, análisis de 8,950 casos. Rev Gastroenterol Mex 1987; 52: 75-81.

  4. González DOM, Núñez FFA. Apendicitis parasitarias. Rev Mex Patol Clin 2001; 48: 42-45.

  5. Viñuela A, Fernández-Rojo F, Martínez-Merino A. Oxyuris granulomas of pelvic peritoneum and appendicular wall. Histopathology 1979; 3: 69-77.

  6. Dorfman S, Talbot IC, Torres R, Cardozo J, Sánchez M. Parasitic infestation in acute appendicitis. Ann Tro Med Parasitol 1995; 89: 99-101.

  7. Chan W, Fu KH. Value of routine histopathological examination of appendices in Hong Kong. J Clin Pathol 1987; 40: 429-433.

  8. Montalvo JE, Guizar BC, Athié GC. Apendicitis aguda asociada a infección parasitaria, en hallazgos histopatológicos. Experiencia de 5 años. Cir Gen 1999; 21: 140-142.

  9. Guizar BC, Athié GC, Alcaraz HG, Rodea RH, Montalvo JE. Análisis de 8,732 casos de apendicitis aguda en el Hospital General de México. Cir Gen 1999; 21: 105-109.

  10. Andreou P, Blain S, Duboulay CE. A histopathological study of the appendix at autopsy and after surgical resection. Histopathology 1990; 17: 427-431.

  11. Storm-Dickerson T, Horattas MC. What have we learned over the past 20 years about appendicitis in the elderly? Am J Surg 2003; 185: 198-201.

  12. Jiménez GC. Los parásitos intestinales en México. Cuadernos FUNSALUD No 36, Fundación Mexicana para la Salud. México.

  13. Guzmán-Valdivia G. Acute amebic appendicitis. World J Surg 2006; 30: 1038-42.

  14. Ramos F, Valdez E, Morán P. González E, Padilla G, Gómez A, et al. Prevalence of E. histolytica and E. dispar in a highly endemic rural population. Arch Med Res 2000; 31: S34-35.

  15. Rodea-Rosas H, Athié-Gutiérrez C, Durán Padilla MA, Montalvo-Jave E, Guizar-Bermúdez C. El comportamiento del ameboma en las últimas cuatro décadas. Experiencia en el Hospital General de México, OD. Cir Gen 2008; 30: 70-73.

  16. Athié CG, Guizar CB, Alcántara AV, Alcaraz GH, Montalvo EJ. Twenty-five years of experience in the surgical treatment of perforation of the ileum caused by Salmonella typhi at the General Hospital of Mexico City, Mexico. Surgery 1998; 123: 632-36.

  17. Sigler ML, Mier DJ, Melgoza OC, Blanco BR, Medina GE. Amibiasis. Tratamiento quirúrgico en 1989. Rev Gastroenterol Mex 1989; 54: 185-9.

  18. Caballero-Salcedo A, Viveros-Rogel M, Salvatierra B, Tapia-Conyer R, Sepúlveda-Amor J, Gutiérrez G, et al. Seroepidemiology of amebiasis in Mexico. Am J Trop Med Hyg 1994; 50: 412–419.

  19. Treviño García-Manzo N, Escandón RC, Cabral SJ, Escobedo-de la Peña J, Olvera AJ, Silva BA. Patterns of the morbidity and mortality of amebiasis and amebic liver abscess in Mexico: an ecological analysis. Arch Med Res 1997; 28: 290-2.

  20. WHO/PAHO/UNESCO report. A consultation with experts on amoebiasis. Epidemiol Bull 1997; 18: 13-4.

  21. Rodríguez-García AJ, Belmares-Taboada J, Hernández-Sierra JF. Factores de riesgo para oclusión y suboclusión intestinal por Ascaris lumbricoides. Cir Ciruj 2004; 72: 37-40.

  22. Quihui-Cota L, Valencia ME, Crompton DW, Phillips S, Hagan P, Diaz-Camacho SP, et al. Prevalence and intensity of intestinal parasitic infections in relation to nutritional status in Mexican schoolchildren. Trans R Soc Trop Med Hyg 2004; 98: 653-9.




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