scholarly journals Perforation of the Small Intestine with Acute Peritonitis Caused by Enterobius Vermicularis

Folia Medica ◽  
2020 ◽  
Vol 62 (4) ◽  
pp. 875-879
Author(s):  
Spasimir T. Shopov

Perianal and perineal pruritus is often associated with Enterobius vermicularis in children. Although this roundworm is common in pediatric practice, most doctors are unaware that it can cause appendicular colic with/or appendicitis, severe urogenital complications, bowel perforation, and peritonitis. We report a case of a young male who presented with signs and symptoms of acute peritonitis. Dur-ing the operation, perforation of the jejunum with a purulent exudate under the transverse colon, a left lateral canal, a Douglas cavity were found as well as single enlarged mesenteric lymph nodes. Histological studies detected Enterobius vermicularis in the lumen of the appendix and jejunum, as well as in the purulent exudate in the intestinal wall and serosa. A mesenteric lymph node, histologically presented with chronic nonspecific lymphadenitis. In conclusion, infection with Enterobius vermicularis should be considered in peri-tonitis, appendicitis, and enlarged mesenteric lymph nodes, especially in young patients.

PEDIATRICS ◽  
1979 ◽  
Vol 64 (6) ◽  
pp. 979-980
Author(s):  
Alan M. Krensky ◽  
Rita Teele ◽  
John Watkins ◽  
Jon Bates

Two patients with apparent mucocutaneous lymph node syndrome (MLNS) and hydrops of the gallbladder have presented with elevated antistreptolysin O (ASO) titers. Notably, in none of the cases previously reported in the literature, has ASO titer been mentioned. The patient described by Goldsmith1 had a hydropic gallbladder, massively hypertrophied mesenteric lymph nodes and other signs and symptoms of the syndrome with negative throat culture, and a variety of serologic examinations reported, but no ASO titer.


2005 ◽  
Vol 17 (3) ◽  
pp. 256-258 ◽  
Author(s):  
B. Peris ◽  
V. García ◽  
E. Blas ◽  
P. Segura ◽  
J. Martínez ◽  
...  

Pneumatosis cystoides intestinalis (PCI) is an infrequent condition of animals characterized by the existence of numerous thin-walled, gas-filled cystic structures within the intestinal wall and adjacent lymph nodes. Microscopically, the cystic structures appear to be dilated lymphatics located in the lamina propria, submucosa, muscularis, subserosa, mesentery, and mesenteric lymph nodes. This report describes a case of pneumatosis cystoides intestinalis in a rabbit doe from an organic farm where 20 rabbit does were fed ad libitum with a natural diet consisting of whole barley, pea beans, alfalfa hay, and a pelleted vitamin–mineral blend. A combination of nutritional, bacterial, and other factors are hypothesized as possible predisposing factors in the development of PCI.


2020 ◽  
Vol 9 (5-6) ◽  
pp. 665-670
Author(s):  
T. Savova ◽  
R. Petrova ◽  
V. Valcheva ◽  
M. Bonovska ◽  
H. Najdenski

Mycobacterium avium subsp. paratuberculosis (MAP) is the etiological agent of paratuberculosis (John’s disease) mainly in large and small domestic and wild ruminants, and suspected causative agent in human Crohn’s disease. In Bulgaria, paratuberculosis is still poorly researched in both groups of ruminants. We present results of the first in-depth study of mouflon, grown free in one hunting reserve in the Western region of the country. The aim was to prove the presence of MAP in diagnostic materials from regularly hunted or dead mouflon suspected for paratuberculosis. Small intestine and mesenteric lymph nodes (MLN) from 12 hunted and 4 dead mouflon and 10 faecal samples (Fc) were studied in the period of 2009–2013. Typical for paratuberculosis pathomorphological lesions were observed in four mouflon (of 16 examined). The intestinal wall was thickened, strongly folded and soft, with severe hyperemia. The MLN were enlarged, soft, with marbled appearance. The affected section of the ileum showed hyperplasia of the mucous corion and submucosa with diffuse infiltration of epithelioid cells. Lymphadenopathy with atrophy of T and B lymphocytes areas was observed in the mesenteric lymph nodes. For bacteriological isolation of MAP, the tissue and faecal samples were decontaminated with NALC-NaOH, cultured in Middlebrook 7H9 Broth and on Herrold’s medium. The Ziehl–Neelsen stained smears and isolates were examined microscopically for acid-fast bacteria. Presence of MAP was observed in tissue samples of 4 (25%) mouflon and in 2 (20%) faecal samples. The same samples were confirmed by the IS900 PCR for the presence of specific for MAP fragments with a commercial amplification kit. The cases of paratuberculosis found at different times in the free-living mouflon in our study prove that the disease exists in Bulgaria and highlight the need for more serious control of the disease among wild and domestic ruminants.


2021 ◽  
Vol 14 (2) ◽  
pp. 137-141
Author(s):  
Omar Gonzales-Viera ◽  
◽  
Mark Anderson ◽  
Patricia Pesavanto ◽  
◽  
...  

Clinical History: Two raccoons died in a pre-release rehabilitation pen in an interval of 1.5 weeks after appearing healthy. The second raccoon, a juvenile female, was submitted for postmortem examination. Necropsy Findings: In the small intestine, the subserosa is markedly hyperemic/congested (Fig. 1) with abundant watery, semi-translucid content and large amounts of tan-white mucus. The intestinal wall is thickened, and the mucosa is smooth and overlaid by thick mucus (Fig. 2). The large intestine contains moderate amounts of tan-yellow, mucoid digesta. Mesenteric lymph nodes are enlarged, the parenchyma is red and mildly protrudes on cut section.


1959 ◽  
Vol 57 (3) ◽  
pp. 266-273 ◽  
Author(s):  
H. Williams Smith

1. The mesenteric lymph nodes and faeces of pigs, cattle, sheep, dogs and cats and the intestinal wall and other organs of chickens in Essex, England, have been examined for salmonellae. These animals were either healthy or were not suffering from clinical salmonella infection.2. Salmonellae were isolated from the mesenteric lymph nodes of sixty (12%) of 500 pigs, nine (4·5%) of 200 dogs, five (2·5%) of 200 cats and none of 200 cattle and 100 sheep. None was found in the chickens.3. One (0·5%) of the cats and one (0·5%) of the dogs and six (1·2%) of an additional 500 healthy pigs were excreting salmonellae in their faeces.4. Of the seventeen serotypes found in pigs, Salm. typhi-murium, Salm. anatum and Salm. cholerae-suis occurred most frequently.5. All strains of Salm. cholerae-suis were isolated in brilliant green MacConkey broth; selenite broth was unsuitable for this purpose.6. Despite the high isolation rate from pigs, clinical salmonella infection was diagnosed relatively infrequently at this laboratory. Salm. cholerae-suis was isolated from only one of seventeen epidemiologically unrelated cases of necrotic enteritis in pigs.7. The results are discussed from the public health and agricultural view points with particular regard to the part infected feedingstuffs may play in causing salmonella infection in animals.The expenses of the investigation were, in part, defrayed by grants from the Agricultural Research Council, whose help I gratefully acknowledge.I am grateful to Mr A. J. Harman and Miss Linda Kelly for their capable technical help and to Dr K. C. Sellers for useful suggestions made during the course of this work. I am also indebted to Dr Joan Taylor for typing all the salmonella cultures and to Mr L. G. Smart for collecting the lymph nodes from the cattle, sheep and pigs.


2001 ◽  
Vol 120 (5) ◽  
pp. A183-A183
Author(s):  
H KOBAYASHI ◽  
H NAGATA ◽  
S MIURA ◽  
T AZUMA ◽  
H SUZUKI ◽  
...  

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