Gennaio 2009 - Volume XXVIII - numero 1

Medico e Bambino


Percorsi clinici

Appendicite, anzi no yersiniosi, anzi no tubercolosi!

Alessandro Consolaro, Martina Fornaro, Linda Balanzoni, Michele Corroppolo1

Sara Pecori2, Enrico Valletta3
Scuola di Specializzazione in Pediatria, 1Chirurgia Pediatrica, 2Anatomia Patologica, 3Clinica Pediatrica, Universit di Verona

Indirizzo per corrispondenza: enrico.valletta@azosp.vr.it

APPENDICITIS, OR RATHER YERSINIOSIS, OR RATHER TUBERCULOSIS!

Key words: Granulomatous peritonitis, Granulomatous appendicitis, Extrapulmonary tuberculosis, Yersinia pseudotuberculosis, Mycobacterium tuberculosis, Immigrants

We describe the case of a 5-year boy, born from Moroccan parents, who underwent surgery for acute appendicitis and granulomatous peritonitis. Histopathological and serological findings were suggestive of Yersinia pseudotuberculosis infection. All investigations (excluding QuantiFERON-TB test) were negative for a Mycobacterium tuberculosis infection. Several months later he developed lumbo-aortic and mesenteric nodal enlargement and pulmonary hilar lymphadenopaty and tuberculin skin test became positive. A four-drug therapy for tuberculosis disease was eventually decided with good clinical response. Difficulties in diagnosing tuberculous peritonitis and need for careful surveillance of people immigrating from countries endemic for tuberculosis are discussed.

Vuoi citare questo contributo?

A. Consolaro e collaboratori Appendicite, anzi no yersiniosi, anzi no tubercolosi!. Medico e Bambino 2009;28(1):39 https://www.medicoebambino.com/?id=0901_39.pdf


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