African Journal of
Microbiology Research

  • Abbreviation: Afr. J. Microbiol. Res.
  • Language: English
  • ISSN: 1996-0808
  • DOI: 10.5897/AJMR
  • Start Year: 2007
  • Published Articles: 5176

Case Report

Shigellosis associated with appendicitis and peritonitis

Hakan Sezgin Sayiner
  • Hakan Sezgin Sayiner
  • Department of Infectious Diseases, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
  • Google Scholar
Musa Abes
  • Musa Abes
  • Department of Pediatric Surgery, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
  • Google Scholar
Burak Ekrem Citil
  • Burak Ekrem Citil
  • Department of Medical Microbiology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey.
  • Google Scholar
Hasan Ogunc Apaydin
  • Hasan Ogunc Apaydin
  • Pediatric Surgery Clinic, Training and Research Hospital, Adiyaman University, Adiyaman, Turkey.
  • Google Scholar
Sadik Akgun
  • Sadik Akgun
  • Department of Medical Microbiology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
  • Google Scholar
Ali Haydar Baykan
  • Ali Haydar Baykan
  • Department of Radiology, Faculty of Medicine, Adiyaman University, Adiyaman, Turkey.
  • Google Scholar
Halil Ibrahim Erdogdu
  • Halil Ibrahim Erdogdu
  • Faculty of Medicine, Surgical Sciences, Adiyaman University, Adiyaman, Turkey.
  • Google Scholar
Haci Mehmet Inan
  • Haci Mehmet Inan
  • Pathology Clinic, Training and Research Hospital, Adiyaman University, Adiyaman, Turkey.
  • Google Scholar
Selcuk Aksoz
  • Selcuk Aksoz
  • Infection Diseases Department, Training and Research Hospital, Adiyaman University, Adiyaman, Turkey.
  • Google Scholar


  •  Received: 21 October 2014
  •  Accepted: 25 September 2015
  •  Published: 14 October 2015

Abstract

Appendix perforation is one of the many causes of secondary peritonitis. In this report, a case of peritonitis caused by Shigella sonnei in a 7-year-old child was presented. A 7-year-old male patient was presented with tenderness in the right lower quadrant and positive rebound tenderness test on physical examination. Abdominal ultrasonography and computed tomography revealed appendicular colitis and intraabdominal free fluid. The patient underwent surgery, during which perforation of appendix was noted. During the post-operative period, peritonitis developed. S. sonnei was isolated from peritoneal fluid secondary to perforation of appendix. Association of S. sonnei and appendicitis along with secondary peritonitis should be kept in mind when treating patients with abdominal pain and gastroenteritis.

 

Key words: Appendicitis, peritonitis, Shigella sonnei.