Acute Phlegmonous Caecitis

Abstract

AMOEBIASIS IN INFANCY BICAL OURNAL by mixing the grated coconut with hot water and manually squeezing out the oil. To reduce the fat content, the mothers were instructed not to add the milk obtained by the initial squeeze, but to discard this and add hot water to the grated coconut. This weaker coconut milk was used for the preparation of the child's curry. The fat-deficient diet was continued for a few weeks after the stools became normal. Summary Forty cases of pathologically proved E. histolytica infection in infants in Colombo and its environs are presented. Of 291 cases of infantile diarrhoea in children under 2 years of age 15.9% were infected with E. histolytica. Fourteen cases were 1 year of age and 26 between 1 and 2 years. Twenty-nine of the cases were infected with E. histolytica minuta and the others with the larger type. Half the cases were of the acute and half of the chronic and relapsing variety. Treatment given was by emetine parenterally and carbarsone orally. Of the cases followed up 80%/0 indicated satisfactory results.

Non-specific ulceration of the cæcum

“…It has been pointed out that the fate of a caecal ulcer is comparable with that of ulcers occurring elsewhere in the gastro-intestinal tract. It is difficult to estimate how frequently healing occurs, but it is possible that some cases of "mild subsiding appendicitis" may be in actual fact caecal ulcers which heal completely (Parker and Serjeant, 1957).…”

A Case of Acute Phlegmonous Caecitis with Perforation

“…Spivack and Busch (1943) reported two further cases of phlegmonous caecitis. A case of the same condition in a man aged 35 is described by Meyer and Disch (1945); further cases have been reported by McHardy andBrowne (1946), Bulmer (1947), Riker, Gilchrist, and David (1949), and Nardell (1949); and Tagart (1953) surveys 21 cases reported during the last 25 years with three further cases. Pathology Two types of phlegmonous caecitis have been described by most authors, circumscribed and diffuse.…”