Archives de pediatrie : organe officiel de la Societe francaise de pediatrie · 2007
[Association of streptococcal pharyngitis with complicated appendicitis].
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Lê P, Zeiter A L, Ramaheriarison Y
Аннотация
UNLABELLED: Streptococcal pharyngitis can be accompanied by right lower abdominal quadrant pain, which often is linked to mesenteric adenitis. We report on a case of such misleading association in a child.
CASE REPORT: A 6-year-old child presented pain in the right lower abdominal quadrant and fever with 39 degrees C temperature for 24 h; clinical examination showed pharyngeal erythema and local abdominal tenderness. Strep-test was positive. Abdominal ultrasound visualized signs of appendicitis. The child was operated on for complicated appendicitis.
COMMENTS: The association of pharyngitis and appendicitis is particularly misleading because mesenteric adenitis is the most common cause of right lower quadrant tenderness in children with pharyngitis.
CASE REPORT: A 6-year-old child presented pain in the right lower abdominal quadrant and fever with 39 degrees C temperature for 24 h; clinical examination showed pharyngeal erythema and local abdominal tenderness. Strep-test was positive. Abdominal ultrasound visualized signs of appendicitis. The child was operated on for complicated appendicitis.
COMMENTS: The association of pharyngitis and appendicitis is particularly misleading because mesenteric adenitis is the most common cause of right lower quadrant tenderness in children with pharyngitis.