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Abstract
Typhoid fever frequently manifests as gastrointestinal complications, such as ileitis or colitis, but appendicitis is quite rare. A 37-year-old man was admitted due to abdominal pain, fever and diarrhea. Two weeks before admission, he underwent an appendectomy. The blood culture upon admission revealed Salmonella Typhi. A polymerase chain reaction(PCR) was performed on the tissue of the vermiform appendix and the STY0312 gene of S. Typhi was detected. This is the first case of acute appendicitis complicated with typhoid fever proven by PCR in Korea.
Figures and Tables
Figure 1
Microscopic findings of a vermiform appendix showed infiltration of numerous neutrophils in the mucosa.
Figure 2
Abdominal CT showed post-appendectomy state and thickened wall of bowel. There was no remnant of the vermiform appendix.
Figure 3
Gram stain from a blood culture revealed gram negative bacilli, which was finally identified as Salmonella Typhi, (A) Hematoxylin and Eosin stain, ×400 and (B) H & E stain, ×1,000.
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