Acute Appendicitis Associated with Aspergillosis in a Leukemia Patient - A Case
박봉희, 서재희, 최혜정, 차희정, 남창우, 김영민,
소속 상세정보
박봉희 ( Park Bong-Hee )
울산대학교 의과대학 서울아산병원 병리학교실
서재희 ( Suh Jae-Hee )
울산대학교 의과대학 울산대학교병원 병리학교실
최혜정 ( Choi Hye-Jeong )
울산대학교 의과대학 울산대학교병원 병리학교실
차희정 ( Cha Hee-Jung )
울산대학교 의과대학 울산대학교병원 병리과
남창우 ( Nam Chang-Woo )
울산대학교 의과대학 울산대학교병원 외과학교실
김영민 ( Kim Young-Min )
울산대학교 의과대학 울산대학교병원 병리과
KMID : 0357920100440030330
Abstract
Herein we describe a rare case of acute appendicitis associated with localized aspergillosis in an 8-year-old boy with acute lymphoblastic leukemia. During chemotherapy, the patient complained of mild abdominal pain in the peri-umbilical area and displayed an increased C-reactive protein level. Abdominal ultrasonography disclosed appendicitis and consequently an appendectomy was done. Histologically, acute appendicitis and Aspergillus hyphae were identified in the lumen and necrotic mucosa. However, there was no evidence of systemic aspergillosis. While aspergillosis is a common fungal infection in immunocompromised patients treated with chemotherapy, acute appendicitis associated with localized aspergillosis without systemic infection is a very rare occurrence.
키워드
Appendicitis;Aspergillosis;Leukemia
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