Diagnostic accuracy of pediatric atypical appendicitis: Three case reports.

Abstract:

RATIONALE:Acute appendicitis is one of the most common causes of acute abdomen in children, yet it is difficult to diagnose in young children because its clinical manifestations may be atypical. Here, 3 atypical clinical cases associated with appendicitis in children are reported. PATIENT CONCERN:The 1st case corresponds to a 5-year-old male patient who presented with abdominal discomfort, intermittent fevers, and vomiting, have increased white blood cell (WBC) count and C-reactive protein (CRP). The second case is a 7-year-old male patient who began with intermittent fevers and lower quadrant abdominal pain, showing increased WBC count and CRP. The 3rd case corresponds to a 7-year-old female patient who presented with intermittent fevers, abdominal pain, and forebreast discomfort, demonstrating increased WBC count and CRP. DIAGNOSES:Abdominal computed tomography (CT) scan presented data suggestive of enlarged appendix in diameter, and stercolith, corroborated through surgery. INTERVENTION:Two patients were treated by appendectomy, and 1 patient was treated conservatively with antibiotics. OUTCOMES:Three patients were treated successfully. At 3-month follow-up, the patients had no complaints of discomfort with no relapse of appendicitis. LESSONS:Due to atypical symptoms of children, the diagnosis of appendicitis is often delayed, suggesting that the clinicians should be aware of this disease when encountering gastroenteritis patients with elevated WBC and CRP. Furthermore, abdominal CT scan should be taken into consideration when patients showed high level of WBC and CRP, whose appendix is not seen on ultrasound.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Wang ZH,Ye J,Wang YS,Liu Y

doi

10.1097/MD.0000000000015006

subject

Has Abstract

pub_date

2019-03-01 00:00:00

pages

e15006

issue

13

eissn

0025-7974

issn

1536-5964

pii

00005792-201903290-00046

journal_volume

98

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Nucleobindin 2 expression is an independent prognostic factor for bladder cancer.

    abstract::Nucleobindin 2 (NUCB2) has been reported to play an important role in both tumorigenesis and cancer progression. This study aimed to examine the clinical significance of NUCB2 expression urothelial carcinoma of the bladder (UCB).The expression level of NUCB2 and its correlation with clinicopathological parameters was ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019597

    authors: Cho JM,Moon KT,Lee HJ,Shin SC,Choi JD,Kang JY,Yoo TK

    更新日期:2020-03-01 00:00:00

  • Efficacy and Outcome Predictors of Gonadotropin Treatment for Male Congenital Hypogonadotropic Hypogonadism: A Retrospective Study of 223 Patients.

    abstract::Gonadotropin induces masculinization and spermatogenesis in men with congenital hypogonadotropic hypogonadism (CHH). However, large cohort studies for the efficacy and reliable predictors of this therapy need to be conducted. The aim of this study was to investigate the efficacy of gonadotropin treatment in a large co...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002867

    authors: Liu Z,Mao J,Wu X,Xu H,Wang X,Huang B,Zheng J,Nie M,Zhang H

    更新日期:2016-03-01 00:00:00

  • Metastatic renal clear cell carcinoma to the rectum, lungs, ilium, and lymph nodes: A case report.

    abstract:BACKGROUND:Renal cell carcinoma metastasizing to rectum is very rare, and the unusual metastatic sites should be paid attention to during the follow-up of renal cell carcinoma. CASE SUMMARY:We describe a case of a 65-year-old male who was diagnosed with metastatic renal cell carcinoma to rectum 10 years after the righ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005720

    authors: Zheng G,Li H,Li J,Zhang X,Zhang Y,Wu X

    更新日期:2017-01-01 00:00:00

  • Acupuncture on treating angina pectoris: A systematic review.

    abstract:BACKGROUND:Coronary heart disease angina pectoris is a common clinical symptom in patients with coronary heart disease, due to coronary atherosclerotic stenosis or sputum leading to coronary insufficiency, myocardial transient ischemia, hypoxia caused by precordial pain as the main clinical manifestations Group syndrom...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018548

    authors: Wang JS,Yu XD,Deng S,Yuan HW,Li HS

    更新日期:2020-01-01 00:00:00

  • Folic Acid and Vitamins D and B12 Correlate With Homocysteine in Chinese Patients With Type-2 Diabetes Mellitus, Hypertension, or Cardiovascular Disease.

    abstract::Elevated serum homocysteine has been shown to be a risk factor for hypertension, cardiovascular disease (CVD), and type-2 diabetes mellitus (T2DM).We characterized the relationships between the serum levels of homocysteine, folic acid, and vitamins D2, D3, and B12 in patients with T2DM, CVD, and hypertension in Shangh...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002652

    authors: Mao X,Xing X,Xu R,Gong Q,He Y,Li S,Wang H,Liu C,Ding X,Na R,Liu Z,Qu Y

    更新日期:2016-02-01 00:00:00

  • Erratum: Comparison Between Phenylephrine and Dopamine in Maintaining Cerebral Oxygen Saturation in Thoracic Surgery: A Randomized Controlled Trial: Erratum.

    abstract::[This corrects the article DOI: 10.1097/MD.0000000000002212.]. ...

    journal_title:Medicine

    pub_type: 已发布勘误

    doi:10.1097/01.md.0000480961.17450.a6

    authors:

    更新日期:2016-02-12 00:00:00

  • Analgesic effects of low-dose ketamine after spinal fusion in adults: A protocol of prospective randomized trial.

    abstract:BACKGROUND:Patients with spinal fusion often have opioid tolerance and chronic pain, which makes it difficult to control postoperative pain. In this double-blind, randomized, prospective study, we assessed the safety and efficacy of intravenous low-dose ketamine for the treatment of pain in patients undergoing the lumb...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022162

    authors: Wang H,Ma L,Chen Y

    更新日期:2020-09-18 00:00:00

  • Prognostic value of lymphovascular space invasion in patients with early stage cervical cancer in Jilin, China: A retrospective study.

    abstract::The metastasis of cervical carcinoma is associated with the lymphovascular spread. The primary objective of the present study was to determine the prognostic value of lymphovascular space invasion (LVSI) in patients with early-stage cervical cancer in Jilin, China.In this retrospective cohort study, patients with earl...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017301

    authors: Yan W,Qiu S,Ding Y,Zhang Q,Si L,Lv S,Liu L

    更新日期:2019-10-01 00:00:00

  • Anesthetic management of a patient with Bardet-Biedl syndrome undergoing renal transplantation: A case report.

    abstract:INTRODUCTION:Bardet-Biedl syndrome, which compromises airway management and the cardiovascular and renal systems, is a rare ciliopathic syndrome characterized by multisystem involvement and varying genetic etiologies and clinical manifestations. PATIENT CONCERNS:A 13-year-old female patient had a history of chronic re...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022300

    authors: Yaman F,Çekmen N

    更新日期:2020-09-18 00:00:00

  • Noncancer-Related Health Events and Mortality in Head and Neck Cancer Patients After Definitive Radiotherapy: A Prospective Study.

    abstract::The survival of patients with head and neck squamous cell carcinoma (HNSCC) can be affected not only by progression of the original cancer or occurrence of a second cancer but also by noncancer health event (NCHE). In this study, we evaluated the prognostic significance of early NCHEs in HNSCC patients after definitiv...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003403

    authors: Kang HS,Roh JL,Kim SB,Choi SH,Nam SY,Kim SY

    更新日期:2016-05-01 00:00:00

  • Necessity of harvesting at least 25 lymph nodes in patients with stage N2-N3 resectable gastric cancer: a 10-year, single-institution cohort study.

    abstract::A minimum of 15 lymph nodes (LNs) has been recommended as an adequate number for radical gastrectomy for gastric cancer (GC). This study aimed to investigate whether the harvesting of at least 25 LNs was a better criterion for stage N2-3 GC based on the 10-year experience of a high-volume hospital. A total of 1363 pat...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000620

    authors: Chen HN,Chen XZ,Zhang WH,Chen XL,Yang K,Liu JP,Zhang B,Chen ZX,Chen JP,Zhou ZG,Hu JK

    更新日期:2015-03-01 00:00:00

  • Retrospective observational study comparing the international hip dysplasia institute classification with the Tonnis classification of developmental dysplasia of the hip.

    abstract::The Tonnis radiographic classification of developmental dysplasia of the hip (DDH) has been widely used. The International Hip Dysplasia Institute (IHDI) classification, a new classification system recently developed by the IHDI, is beginning to be applied to evaluate DDH with the absence of an ossification center. Th...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005902

    authors: Miao M,Cai H,Hu L,Wang Z

    更新日期:2017-01-01 00:00:00

  • A Causal Role of Genetically Elevated Circulating Interleukin-10 in the Development of Digestive Cancers: Evidence from Mendelian Randomization Analysis Based on 29,307 Subjects.

    abstract::Recent studies have observed a high level of circulating interleukin-10 (IL-10) in patients with digestive cancers, yet whether elevated IL-10 is causally associated with digestive cancers so far remained unresolved. We therefore meta-analyzed available observational studies with Mendelian randomization method to expl...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000002799

    authors: Niu W,Pang Q,Lin T,Wang Z,Zhang J,Tai M,Zhang L,Zhang L,Gu M,Liu C,Qu K

    更新日期:2016-02-01 00:00:00

  • Congenital chloride losing diarrhea: A single center experience in a highly consanguineous population.

    abstract::Congenital chloride losing diarrhea (CCLD) is a rare type of chronic watery diarrhea due to mutations in SLC26A3 gene leading to defective chloride-bicarbonate exchanges with the resultant loss of chloride and retention of bicarbonate.We aim to define pediatric Saudi CCLD patients' characteristics to achieve prompt di...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015928

    authors: Kamal NM,Khan HY,El-Shabrawi MHF,Sherief LM

    更新日期:2019-05-01 00:00:00

  • Circulating D-dimer level correlates with disease characteristics in hepatoblastoma patients.

    abstract:OBJECTIVES:Hepatoblastoma (HB) is the most common pediatric liver malignancy, typically affecting children within the first 4 years of life. However, only a few validated blood biomarkers are used in clinical evaluation. The current study explored the clinical application and significance of D-dimer levels in patients ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008798

    authors: Zhang B,Liu G,Liu X,Zheng S,Dong K,Dong R

    更新日期:2017-11-01 00:00:00

  • Effect of acupuncture on in vitro fertilization: An updated systematic review and data mining protocol.

    abstract:BACKGROUND:Although many patients try to seek acupuncture to improve in vitro fertilization (IVF) outcomes, evidence regarding its efficacy and acupoints characters are lacking. The aim of this protocol is to evaluate the effectiveness and safety, as well as the acupoints characteristics of acupuncture in the treatment...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010998

    authors: Wang X,Lin H,Chen M,Wang J,Jin Y

    更新日期:2018-06-01 00:00:00

  • Intra-arterial chemotherapy for unilateral advanced intraocular retinoblastoma: Results and short-term complications.

    abstract::Intra-arterial chemotherapy (IAC) has become an essential technique for the management of advanced intraocular retinoblastoma (RB). In this study, the aim of this article is to describe the clinical results and the short-term complications of IAC performed in our hospital.We retrospectively analyzed patients with newl...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012676

    authors: Wang L,Han M,Zhao J,Wu C,Wang Z,Li J,Song D,Wang C,Yang Y,Guo L

    更新日期:2018-10-01 00:00:00

  • Extramedullary relapse of leukemia after allogeneic hematopoietic stem cell transplantation: A retrospective study.

    abstract::Extramedullary relapse (EMR) rarely occurs after allogeneic hematopoietic stem cell transplantation (HSCT) in leukemia. This study was to investigate the clinical characteristics of EMR.We retrospectively investigated 316 consecutive patients undergoing HSCT for acute leukemia or chronic myeloid leukemia (CML) at 2 in...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015584

    authors: Xie N,Zhou J,Zhang Y,Yu F,Song Y

    更新日期:2019-05-01 00:00:00

  • Nationwide Multicenter Reference Interval Study for 28 Common Biochemical Analytes in China.

    abstract::A nationwide multicenter study was conducted in the China to explore sources of variation of reference values and establish reference intervals for 28 common biochemical analytes, as a part of the International Federation of Clinical Chemistry and Laboratory Medicine, Committee on Reference Intervals and Decision Limi...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MD.0000000000002915

    authors: Xia L,Chen M,Liu M,Tao Z,Li S,Wang L,Cheng X,Qin X,Han J,Li P,Hou L,Yu S,Ichihara K,Qiu L

    更新日期:2016-03-01 00:00:00

  • A case report of acute inferior myocardial infarction in a patient with severe hemophilia A after recombinant factor VIII infusion.

    abstract:RATIONALE:The extent of protective effects of hemophilia against thrombotic events such as myocardial infarction (MI) and other acute coronary syndromes remains to be determined, as major risk factors for cardiovascular disease exist despite factor VIII (FVIII) deficiency. We present a case report of a 41-year-old male...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009075

    authors: Zupančić-Šalek S,Vodanović M,Pulanić D,Skorić B,Matytsina I,Klovaite J

    更新日期:2017-12-01 00:00:00

  • Applicability of ultrasonography for detection of marginal sinus placenta previa.

    abstract:ABSTRACT:This study aimed to examine whether marginal sinus placenta previa, defined as when the marginal sinus just reaches the internal cervical os and placental parenchyma might be >2 cm from the internal cervical os, can be diagnosed using ultrasonography (US). We identified the placenta previa cases that underwent...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000024253

    authors: Ishibashi H,Miyamoto M,Shinmoto H,Soga S,Iwahashi H,Kakimoto S,Matsuura H,Sakamoto T,Hada T,Suzuki R,Takano M

    更新日期:2021-01-08 00:00:00

  • Magnetic stimulation for female patients with stress urinary incontinence, a meta-analysis of studies with short-term follow-up.

    abstract:BACKGROUND:To determine the efficacy of magnetic stimulation (MS) in female patients with stress urinary incontinence (SUI) by performing a meta-analysis on peer-reviewed randomized controlled trails (RCTs). METHODS:PubMed, Embase, and Cochrane library were retrieved for any peer-reviewed original articles in English....

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000015572

    authors: Peng L,Zeng X,Shen H,Luo DY

    更新日期:2019-05-01 00:00:00

  • Purulent pericarditis: report of 2 cases and review of the literature.

    abstract::Purulent pericarditis, a localized infection within the pericardial space, has become a rare entity in the modern antibiotic era. Although historically a disease of children and young adults, this is no longer the case: the median age at the time of diagnosis has increased by nearly 30 years over the past 6 decades. D...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0b013e318194432b

    authors: Parikh SV,Memon N,Echols M,Shah J,McGuire DK,Keeley EC

    更新日期:2009-01-01 00:00:00

  • Changes in inner retinal layer thickness in patients with exudative age-related macular degeneration during treatment with anti-vascular endothelial growth factor.

    abstract::The aim of this study was to identify any changes that occur in the retinal nerve fiber layer (RNFL) and ganglion cell-inner plexiform layer (GC-IPL) in patients with exudative age-related macular degeneration (AMD) during treatment with anti-vascular endothelial growth factor (VEGF) injections.Patients were enrolled ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019955

    authors: Lee SW,Sim HE,Park JY,Kim JS,Chang IB,Park YS,Hwang JH

    更新日期:2020-04-01 00:00:00

  • The combination of strip meniscometry and dry eye-related quality-of-life score is useful for dry eye screening during health checkup: Cross-sectional study.

    abstract::Strip meniscometry (SM) is a new method for quantification of tear volume using meniscometry strips inserted into the tear meniscus for 5 seconds. The dry eye (DE)-related quality-of-life score (DEQS) questionnaire comprises 15 questions regarding bothersome ocular symptoms and their impact on daily life. These 2 exam...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012969

    authors: Ishikawa S,Takeuchi M,Kato N

    更新日期:2018-10-01 00:00:00

  • Proposed safe apnea test using positive end-expiratory pressure valve and short-term blood gas analysis: Observational study.

    abstract::The apnea test is an essential examination for the determination of brain death; however, hypotension, hypoxemia, and other complications during the apnea test can affect the stability of brain-dead patients, as well as organ function for recipients. Therefore, it is necessary to establish standard guidelines for apne...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015602

    authors: Park J,Lee YJ,Hong KS

    更新日期:2019-05-01 00:00:00

  • Rapid detection of urinary soluble intercellular adhesion molecule-1 for determination of lupus nephritis activity.

    abstract::The current methods of monitoring the activity of lupus nephritis (LN) may cause unnecessary hospital visits or delayed immunosuppressive therapy. We aimed to find a urinary biomarker that could be developed as a home-based test for monitoring the activity of LN.Urine samples were collected immediately before a renal ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011287

    authors: Wang Y,Tao Y,Liu Y,Zhao Y,Song C,Zhou B,Wang T,Gao L,Zhang L,Hu H

    更新日期:2018-06-01 00:00:00

  • Silent pulmonary thromboembolism in neurosurgery patients: Report of 2 cases and literature review.

    abstract:BACKGROUND:The requirement of postoperative bedridden and immobilization renders neurosurgical patients with higher risk of deep vein thrombosis (DVT), then more vulnerable for pulmonary thromboembolism (PTE). But silent pulmonary thromboembolism (SPTE) can be the very early stage of any typical form of PTE, its diagno...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000004589

    authors: Tian R,Gao J,Chen A,Bao X,Guan J,Feng M,Li Y,Ma W,Ren Z,Wang R,Wei J

    更新日期:2016-08-01 00:00:00

  • Seasonal variations of severe hypoglycemia in patients with type 1 diabetes mellitus, type 2 diabetes mellitus, and non-diabetes mellitus: clinical analysis of 578 hypoglycemia cases.

    abstract::Blood glucose control in patients with diabetes mellitus (DM) is reportedly influenced by the seasons, with hemoglobin A1c (HbA1c) levels decreasing in the summer or warm season and increasing in the winter or cold season. In addition, several studies have shown that sepsis is also associated with the seasons. Althoug...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000148

    authors: Tsujimoto T,Yamamoto-Honda R,Kajio H,Kishimoto M,Noto H,Hachiya R,Kimura A,Kakei M,Noda M

    更新日期:2014-11-01 00:00:00

  • The association and diagnostic value of red blood cell distribution width in colorectal cancer.

    abstract::Red blood cell distribution width (RDW) is associated with several diseases. However, the diagnostic value of RDW and its related factors remain unclear in colorectal cancer (CRC).This single-center retrospective study evaluated 211 Chinese CRC patients and 103 healthy controls. The association of RDW with the clinica...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000015560

    authors: Shi C,Xie M,Li L,Li K,Hu BL

    更新日期:2019-05-01 00:00:00