Acute appendicitis in a patient with acquired immunodeficiency syndrome: Report of a case
Journal
Journal of Surgical Association Republic of China
Journal Volume
27
Journal Issue
1
Pages
2217-2221
Date Issued
1994
Author(s)
Abstract
A patient with acquired immunodeficiency syndrome (AIDS) underwent an appendectomy on December 18, 1991. His homosexual exposure had been eight years previously. Pneumocystic carinii pneumonia (PCP) was diagnosed by bronchoscopic biopsy; human immunodeficiency virus (HIV) antibodies had been positive by ELISA, IFA and Western Blot for one year prior to presentation for the appendicitis problem. Hairy leukoplakia was also noted. Laboratory studies showed severe lymphopenia with a reversed T-helper to T-suppressor ratio. Appendectomy was performed without mortality or morbidity, despite persistent postoperative fever and prolonged wound healing. Broad-spectrum antibiotics were used, and the patient returned to his preoperative health status. This experience, as well as current reports, suggest that early diagnosis and prompt surgical treatment for acute appendicitis is the best policy, regardless of possible immunodeficiency considerations.
SDGs
Other Subjects
acquired immune deficiency syndrome; acute appendicitis; adult; appendectomy; article; case report; human; male; pneumonia
Type
journal article