[6] 1989
|
35 yo M
|
No
|
Abdominal pain, TTP in RLQ, rebound
|
Histology
|
Laparoscopic appendectomy with IV and oral antibiotics
|
Abscess; Recovery then readmission and death 25 days later
|
[7] 1988 (Published in 1991)
|
50 yo M
|
No
|
Fever, RLQ pain, rebound tenderness, RLQ mass
|
Histology
|
Exploratory laparotomy; IV antibiotics ganciclovir 5×/week (“maintenance therapy”) when CMV confirmed
|
Periappendiceal abscess; Recovery
|
[8] 1990
|
28 yo M
|
Yes (5 weeks)
|
RLQ pain, rebound
|
Histology
|
Exploratory laparotomy, IV antibiotics with appendectomy
|
Recovery
|
[9] 1991
|
31 yo M
|
No
|
Fever, RLQ pain, rebound, guarding
|
Histology, in situ hybridization with CMV probes
|
Appendectomy
|
Recovery
|
[10] 1993
|
38 yo M
|
NR
|
RLQ pain, fever TTP at McBurney’s point
|
Histology, IHC (monoclonal anti-CMV antibody)
|
IV antibiotics and observation; Exploratory laparotomy with appendectomy; ganciclovir
|
Recovery
|
[11] 1994 Patient 1
|
48 yo M
|
NR
|
Lower abdominal pain, fever, septic shock
|
Histology
|
Exploratory laparotomy with appendectomy, ganciclovir, imipenem, inotropes.
|
Perforation; Death
|
[11] 1994 Patient 2
|
27 yo M
|
NR
|
Periumbilical pain, nausea, vomiting, peritoneal signs
|
Histology, IHC
|
Exploratory laparotomy with appendectomy
|
Death
|
[12] 1995
|
34 yo M
|
Yes (unknown duration)
|
RLQ pain, fever
|
Histology CMV PCR in WBC
|
Laparoscopic appendectomy
|
Recovery
|
[13] 1997
|
30 yo M
|
NR
|
RLQ pain, fever, nausea, vomiting
|
Histology
|
Appendectomy, post-op ganciclovir
|
Recovery
|
[14] 1997
|
29 yo M
|
NR
|
Right sided abdominal pain
|
Histology, immunofluorescence
|
Appendectomy
|
Abscess and perforation; Recovery
|
[15] 2004
|
37 yo M
|
NR
|
Fever, abdominal pain, rebound and guarding over RLQ
|
Histology, immunostaining
|
Appendectomy; IV ganciclovir
|
Recovery
|
Present case
|
38 yo F
|
Yes (2 weeks)
|
RLQ pain, anorexia, nausea, fever
|
Histology, CMV viral staining
|
Laparoscopic appendectomy, IV antibiotics peri-operatively, valganciclovir (2 weeks)
|
Perforation; Full recovery
|