Acute appendicitis in a child with swine influenza (H1N1)

Plataras, Christos; Tsangouri, Sotiria; Bourikas, Dimitrios; Christianakis, Efstratios

doi:10.1136/bcr-2014-208219

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…However, among children under 3 years old afflicted with appendicitis, the prevalence of diarrhea ranges from 33% to 46% (22)(23)(24), and the clinical manifestations include vomiting, abdominal pain, and fever (13). A noteworthy correlation exists between the occurrence of influenza and appendicitis, with research revealing a certain interrelation between viral diseases and appendicitis (25). The underdeveloped anatomical structure of children, coupled with an inadequate omental presence, renders the appendix susceptible to rapid perforation.…”

Section: Discussionmentioning

confidence: 99%

Non-operative treatment strategy for appendiceal abscess in children under 3 years old: a retrospective observational study

Li,

Luo,

Wang

et al. 2023

Front. Pediatr.

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BackgroundThere are few studies on appendiceal abscess with appendicolith in children under 3 years old. This study aims to explore the success rate of non-surgical treatment of appendiceal abscess and assess the potential influence of an appendicolith on non-surgical treatment outcomes in children under 3 years old.MethodsThe clinical data of children under 3 years old who were diagnosed with appendiceal abscess at the Wuhan Children's Hospital, China, from February 2013 to May 2020 were collected. According to the findings of ultrasonography and CT imaging, they were divided into two groups, namely, the appendicolith group and the non-appendicolith group.ResultsA total of 94 children with appendiceal abscess were identified, meeting the specified study criteria, and categorized into two groups, namely, the appendicolith group (n = 51, 54.3%) and the non-appendicolith group (n = 43, 45.7%). Non-surgical treatment was unsuccessful in six out of the 94 children, yielding an overall success rate of 93.6% for non-surgical management of appendiceal abscess in children under 3 years old. The success rate for non-surgical treatment in the appendicolith subgroup was 90.2%, whereas that for the non-appendicolith subgroup was 97.7%. No statistically significant distinction was observed between the two groups (P = 0.292). Likewise, there were no significant differences in gender, age, duration of symptoms, fever, vomiting, diarrhea, rebound pain, white blood cell count, C-reactive protein level, and abscess cross-sectional area between the appendicolith group and the non-appendicolith group. However, there is a statistical difference in tenderness in the right lower abdomen.ConclusionNon-surgical treatment of appendiceal abscess has a high success rate and can be considered an effective treatment strategy. In pediatric patients under 3 years old without evidence of complete intestinal obstruction or diffuse peritonitis, non-surgical treatment may be considered for appendiceal abscess.

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Section: Discussionmentioning

confidence: 99%

Non-operative treatment strategy for appendiceal abscess in children under 3 years old: a retrospective observational study

Li,

Luo,

Wang

et al. 2023

Front. Pediatr.

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“…In severe pneumonia, atelectasis, which is complete or partial collapse of the entire lobe of the lung due to mucus plugs, has been seen as a complication, but in influenza cases, it might be relatively rare [4][5][6]. In this report, an adolescent case of influenza infection with severe atelectasis of the left lung in an A/H3N2 type-dominant season that improved after bronchoscopic procedures is described.…”

Section: Introductionmentioning

confidence: 87%

An Adolescent Case of Influenza-Related Pulmonary Atelectasis

Seki

Takano

Hariu

et al. 2021

GJMCR

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A 16-year-old female patient had influenza and was treated by inhalation of an anti-influenza agent. However, two days later, she showed slight dyspnea, and massive atelectasis of the left lung with hypoxia was found. She was admitted to our hospital (Day 0) and started on antibiotics and steroids, but the atelectasis was worsend on Day 3. Therefore, bronchoscopy was performed on Day 5. After the pus in the left bronchus was removed, the atelectasis was significantly improved. Atelectasis after influenza may be a rare, but critical complication, and bronchoscopy should be considered to release the obstructive lesions.

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“…Luminal obstruction by external ( i.e ., lymphoid hyperplasia) or internal ( i.e ., inspissated fecal material and appendicoliths) compression plays a major pathophysiological role[ 3 ]. This subsequently leads to increased mucus production, bacterial overgrowth, viral infection, and stasis, which increase appendiceal wall tension[ 3 , 19 - 24 ]. Consequently, blood and lymph ﬂow is diminished, and necrosis and perforation follow[ 3 ].…”

Section: Pathophysiologymentioning

confidence: 99%

Laparoscopic appendectomy for acute appendicitis: How to discourage surgeons using inadequate therapy

Hori¹,

Machimoto²,

Kadokawa³

et al. 2017

WJG

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Acute appendicitis (AA) develops in a progressive and irreversible manner, even if the clinical course of AA can be temporarily modified by intentional medications. Reliable and real-time diagnosis of AA can be made based on findings of the white blood cell count and enhanced computed tomography. Emergent laparoscopic appendectomy (LA) is considered as the first therapeutic choice for AA. Interval/delayed appendectomy at 6-12 wk after disease onset is considered as unsafe with a high recurrent rate during the waiting time. However, this technique may have some advantages for avoiding unnecessary extended resection in patients with an appendiceal mass. Non-operative management of AA may be tolerated only in children. Postoperative complications increase according to the patient’s factors, and temporal avoidance of emergent general anesthesia may be beneficial for high-risk patients. The surgeon’s skill and cooperation of the hospital are important for successful LA. Delaying appendectomy for less than 24 h from diagnosis is safe. Additionally, a semi-elective manner (i.e., LA within 24 h after onset of symptoms) may be paradoxically acceptable, according to the factors of the patient, physician, and institution. Prompt LA is mandatory for AA. Fortunately, the Japanese government uses a universal health insurance system, which covers LA.

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Acute appendicitis in a child with swine influenza (H1N1)

Cited by 6 publications

References 9 publications

Non-operative treatment strategy for appendiceal abscess in children under 3 years old: a retrospective observational study

Non-operative treatment strategy for appendiceal abscess in children under 3 years old: a retrospective observational study

An Adolescent Case of Influenza-Related Pulmonary Atelectasis

Laparoscopic appendectomy for acute appendicitis: How to discourage surgeons using inadequate therapy

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