Enteroviral Pseudoappendicitis FREE

William M. Liebman, MD; Joseph W. St. Geme, MD

Received for publication Jan 15, 1970.

Reprint requests to Harbor General Hospital, UCLA School of Medicine, 1000 W Carson St, Torrance, Calif 90509 (Dr. St. Geme).

Am J Dis Child. 1970;120(1):77-78. doi:10.1001/archpedi.1970.02100060111020.

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ABSTRACT

ABSTRACT | REFERENCES

There are many illnesses which may mimic the symptoms and signs of an "acute abdomen" wherein surgical intervention would be contraindicated. The purpose of this paper is to describe the occasional pseudosurgical nature of acute enteroviral infection. Three children were admitted to Harbor General Hospital during the summer of 1967 with the diagnosis of an acute abdomen. Echovirus serotypes 1 and 14 were isolated from these children as circumstantial support for the causal relationship between enteroviruses and solitary acute abdominal pain.

Report of Cases Case 1.—A 2¾-year-old white boy was hospitalized on Aug 11, 1967, because of generalized abdominal pain, maximal in the right lower quadrant, fever, and anorexia. The patient had similar signs and symptoms for two days prior to admission. His mother observed that the child preferred to lie on his right side with his knees flexed upon his abdomen. There was no history of diarrhea, vomiting, cough,

REFERENCES

ABSTRACT | REFERENCES

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Karzon DT, Eckert GL, Barron AL, et al: Aseptic meningitis epidemic due to ECHO 4 virus . Amer J Dis Child 101:610-622, 1961;.

Tobe T: Inapparent virus infection as a trigger of appendicitis . Lancet 1:1343-1346, 1965;.

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