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  • Title: Perforated acute appendicitis in a patient with AIDS/HIV infection: report of a case.
    Author: Mohri N, Akamo Y, Takeyama H, Mizokami M, Yuasa H, Mizuno I, Shinagawa N, Manabe T.
    Journal: Surg Today; 1995; 25(1):62-4. PubMed ID: 7538366.
    Abstract:
    We report herein the case of a 40-year-old man with AIDS who was admitted to hospital with severe abdominal pain, fever, and chills. He underwent an emergency laparotomy which revealed a perforated appendix with suppurative peritonitis. An appendectomy with peritoneal drainage was carried out, but the postoperative course was complicated by fever without leukocytosis; however, he gradually improved following treatment with intravenous antibiotics, granulocyte colony-stimulating factor (G-CSF) and immunoglobulins, and made a complete recovery. His postoperative course demonstrates the effectiveness of this treatment regimen for patients with AIDS complicated by infection without an increase in the white blood cell count (WBC).
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