Ricardo Pires, Joana and Moreira, Maria José and Martins, Margarida and Neves, Clarinda (2019) Unusual Pneumonia Mimic. European Journal of Case Reports in Internal Medicine, 6 (7). ISSN 2284-2594
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Abstract
Disease in atypical organ locations can mimic other pathologies, hampering the right diagnosis. Such conditions may even be emergencies, like appendicitis. Subhepatic appendix is a very rare entity which may be caused by caecum dehiscence failure. The authors present the case of a 55-year-old immunocompetent man admitted to the Emergency Department with sepsis and severe hypoxaemia. Chest x-ray showed right lower lobe infiltrate, and community-acquired pneumonia was diagnosed. The patient was started on broad-spectrum antibiotics, but he continued to deteriorate and after 3 days developed abdominal complaints. Exploratory laparoscopy revealed an abscess caused by perforated subhepatic appendicitis. Subhepatic appendicitis presents a diagnostic challenge and its clinical presentation may mimic that of other entities. This case highlights an atypical presentation, where the early development of inflammatory lung injury mimicked common pneumonia. Maintenance of a high index of suspicion and knowledge of these atypical locations is crucial.
| Item Type: | Article |
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| Uncontrolled Keywords: | Appendicitis, subhepatic appendix, sepsis, inflammatory lung injury |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 18 Nov 2020 20:40 |
| Last Modified: | 18 Nov 2020 20:40 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/19497 |
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