Skip to main content
Log in

Perforated acute appendicitis in a patient with AIDS/HIV infection: Report of a case

  • Case Reports
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

We report herein the case of a 40-year-old man with AIDS who was admitted to hospital with severe abdominal pain, fever, and chills. He underwent an emergency laparotomy which revealed a perforated appendix with suppurative peritonitis. An appendectomy with peritoneal drainage was carried out, but the postoperative course was complicated by fever without leukocytosis; however, he gradually improved following treatment with intravenous antibiotics, granulocyte colony-stimulating factor (G-CSF) and immunoglobulins, and made a complete recovery. His postoperative course demonstrates the effectiveness of this treatment regimen for patients with AIDS complicated by infection without an increase in the white blood cell count (WBC).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Mori M, Adachi Y, Suehiro T, Sugimachi K, Yoshizawa S, Kashiwagi S, Takahashi S (1990) A case report of rectal carcinoma in a patient with AIDS/HIV infection (in Japanese). Shujutsu 44:1297–1300

    Google Scholar 

  2. Barone JE, Gingold BS, Nealon TF, Arvanitis ML (1986) Abdominal pain in patients with acquired immune deficiency syndrome. Ann Surg 204:619–623

    Google Scholar 

  3. Nugent P, O'Connell TX (1986) The surgeon's role in treating acquired immunodeficiency syndrome. Arch Surg 121:1117–1120

    Google Scholar 

  4. Wilson SE, Robinson G, Williams RA, Stabile BE, Cone L, Sarfeh IJ, Miller DR, Passaro E (1989) Acquired immune deficiency syndrome (AIDS): Indication for abdominal surgery, pathology, and outcome. Ann Surg 210:428–434

    Google Scholar 

  5. Oberhuber G, Lauer E, Borchard F (1991) Cryptosporidiosis appendix vermiformis: A case report. Z Gastroenterol 29:606–608

    Google Scholar 

  6. Williams RA, Wilson SE (1992) Gastrointestinal disorders requiring surgical treatment in patients with AIDS. Compr Ther 18:9–12

    Google Scholar 

  7. Binderow SR, Shaked AA (1991) Acute appendicitis in patients with AIDS/HIV infection. Am J Surg 162:9–12

    Google Scholar 

  8. Groopman JE, Mitsuyasu RT, DeLeo MJ, Oette DH, Golde DW (1987) Effect of recombinant human granulocyte-macrophage colony-stimulating factor on myelopoiesis in the acquired immunodificiency syndrome. N Engl J Med 317:593–598

    Google Scholar 

  9. Miles SA, Mitsuyasu RT, Moreno J, Baldwin G, Alton NK, Sousa L, Glaspy JA (1991) Combined therapy with recombinant granulocyte colony-stimulating factor and erythropoietin decreases hematologic toxicity from zidovudine. Blood 77:2109–2117

    Google Scholar 

  10. Koyanagi Y, O'Brien AW, Zhao JQ, Golde DW, Gasson JC, Chen ISY (1988) Cytokines alter production of HIV-1 from primary mononuclear phagocytes. Science 241:1673–1675

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mohri, N., Akamo, Y., Takeyama, H. et al. Perforated acute appendicitis in a patient with AIDS/HIV infection: Report of a case. Surg Today 25, 62–64 (1995). https://doi.org/10.1007/BF00309388

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00309388

Key Words

Navigation