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Acute amebic appendicitis in early pregnancy
Affiliation:1. Classified Specialist (Pathology), Base Hospital, Delhi Cantt., India;2. Senior Advisor (Surgery) & GI Surgery, Base Hospital, Delhi Cantt., India;3. Senior Advisor (Pathology) & Nephropathologist, Army Hospital (Research & Referral), Delhi Cantt., India;4. Dean & Dy Commandant, Armed Forces Medical College, Pune 411040, India;5. Director & Commandant, Armed Forces Medical College, Pune 411040, India;1. Senior Advisor (Medicine) & Nephrologist, 7 Air Force Hospital, Kanpur Cantt, UP, India;2. Consultant (Medicine) & Cardiologist, Army Institute of Cardiothoracic Sciences (AICTS), Pune, India;3. Graded Specialist (Medicine), 7 Air Force Hospital, Kanpur Cantt, UP, India;4. Resident (Internal Medicine), 7 Air Force Hospital, Kanpur Cantt, UP, India;1. Associate Professor, Department of Microbiology, Armed Forces Medical College, Pune, India;2. Professor & Head, Department of Microbiology, Armed Forces Medical College, Pune, India;3. Lecturer in Statistics & Demography, Department of Community Medicine, Armed Forces Medical College, Pune, India;4. Assistant Professor, Department of Microbiology, Armed Forces Medical College, Pune, India;5. Dean & Dy Commandant, Armed Forces Medical College, Pune, India;1. Classified Specialist (Dermatology), Command Hospital (SC), Pune 40, India;2. Clinical Tutor, Department of Dermatology, Armed Forces Medical College, Pune & Command Hospital (SC), Pune 40, India;3. Classified Specialist (Pathology), Military Hospital, Barackpore, West Bengal, India;4. Classified Specialist (Dermatology), Military Hospital, Barackpore, West Bengal, India;1. Research Assistant (Clinical Virology), Manipal Institute of Virology, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India;2. Assistant Professor, Manipal Institute of Virology, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India;3. Additional Project Administrator, Manipal Institute of Virology, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India;4. Biotechnologist, Manipal Institute of Virology, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India;5. Senior Data Analyst, Manipal Institute of Virology, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India;6. Research Staff (Clinical Virology), Manipal Institute of Virology, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India;7. Research Scholar, Manipal Institute of Virology, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India;8. Director, Manipal Institute of Virology, Manipal Academy of Higher Education (MAHE), Manipal, Karnataka, India
Abstract:Parasitic infections of the intestine are a major health problem, which is found more prevalent in developing countries such as India. They are one of the important causes of morbidity and mortality among people all over the world. Acute amoebic appendicitis is a rare entity. We came across a case of acute appendicitis in a young pregnant woman, which revealed colonies of Entamoeba histolytica trophozoites in the mucosal epithelium and submucosal layer of the appendix with marked evidence of acute appendicitis. This report highlights acute appendicitis of amoebic origin and emphasises the importance of thorough examination of the appendix at various levels during histopathology and about the combined treatment of appendicectomy combined with antimicrobials as the treatment of choice. Appendicectomy removes the focus of infection, and antimicrobials reduce the incidence of septic complications.
Keywords:Trophozoites  Acute appendicitis  Hematophagous trophozoites
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