Acute Appendicitis: An Extracolonic Manifestation of Clostridium difficile Colitis

The current report is the case of a 30-year-old male patient who presented with symptomatology suggestive of appendicitis. However, careful history-taking and laboratory tests led to the diagnosis of Clostridium difficile colitis, resulting in successful nonsurgical management of this patient. Altho...

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Main Authors: Ali Ridha, Shoaib M. Safiullah, Sarah Al-Abayechi, Amin Ur Rehman Nadeem
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2017/5083535
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author Ali Ridha
Shoaib M. Safiullah
Sarah Al-Abayechi
Amin Ur Rehman Nadeem
author_facet Ali Ridha
Shoaib M. Safiullah
Sarah Al-Abayechi
Amin Ur Rehman Nadeem
author_sort Ali Ridha
collection DOAJ
description The current report is the case of a 30-year-old male patient who presented with symptomatology suggestive of appendicitis. However, careful history-taking and laboratory tests led to the diagnosis of Clostridium difficile colitis, resulting in successful nonsurgical management of this patient. Although both appendicitis and C. difficile colitis are common conditions, they are rarely diagnosed concurrently. This is reflected by paucity of literature describing this manifestation. Given this current presentation, the authors contend that the manifestation of extracolonic colitis within the appendix is possibly underdiagnosed or misdiagnosed as an acute appendicitis and thus potentially results in unnecessary surgical intervention. This report reminds physicians to consider the medical approach to managing acute appendicitis given the possibility of underlying C. difficile colitis as the causative factor.
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institution Kabale University
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spelling doaj-art-729f95208ab44c59932f59c1faf8ac202025-02-03T06:12:09ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/50835355083535Acute Appendicitis: An Extracolonic Manifestation of Clostridium difficile ColitisAli Ridha0Shoaib M. Safiullah1Sarah Al-Abayechi2Amin Ur Rehman Nadeem3University of Arkansas for Medical Science, 4301 West Markham Street, Little Rock, AR 72205, USAChicago Medical School, Rosalind Franklin University of Medicine and Science, 3333 Green Bay Rd, North Chicago, IL 60064, USAUniversity of Arkansas for Medical Science, 4301 West Markham Street, Little Rock, AR 72205, USAChicago Medical School, Rosalind Franklin University of Medicine and Science, 3333 Green Bay Rd, North Chicago, IL 60064, USAThe current report is the case of a 30-year-old male patient who presented with symptomatology suggestive of appendicitis. However, careful history-taking and laboratory tests led to the diagnosis of Clostridium difficile colitis, resulting in successful nonsurgical management of this patient. Although both appendicitis and C. difficile colitis are common conditions, they are rarely diagnosed concurrently. This is reflected by paucity of literature describing this manifestation. Given this current presentation, the authors contend that the manifestation of extracolonic colitis within the appendix is possibly underdiagnosed or misdiagnosed as an acute appendicitis and thus potentially results in unnecessary surgical intervention. This report reminds physicians to consider the medical approach to managing acute appendicitis given the possibility of underlying C. difficile colitis as the causative factor.http://dx.doi.org/10.1155/2017/5083535
spellingShingle Ali Ridha
Shoaib M. Safiullah
Sarah Al-Abayechi
Amin Ur Rehman Nadeem
Acute Appendicitis: An Extracolonic Manifestation of Clostridium difficile Colitis
Case Reports in Medicine
title Acute Appendicitis: An Extracolonic Manifestation of Clostridium difficile Colitis
title_full Acute Appendicitis: An Extracolonic Manifestation of Clostridium difficile Colitis
title_fullStr Acute Appendicitis: An Extracolonic Manifestation of Clostridium difficile Colitis
title_full_unstemmed Acute Appendicitis: An Extracolonic Manifestation of Clostridium difficile Colitis
title_short Acute Appendicitis: An Extracolonic Manifestation of Clostridium difficile Colitis
title_sort acute appendicitis an extracolonic manifestation of clostridium difficile colitis
url http://dx.doi.org/10.1155/2017/5083535
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AT shoaibmsafiullah acuteappendicitisanextracolonicmanifestationofclostridiumdifficilecolitis
AT sarahalabayechi acuteappendicitisanextracolonicmanifestationofclostridiumdifficilecolitis
AT aminurrehmannadeem acuteappendicitisanextracolonicmanifestationofclostridiumdifficilecolitis