Combined infection by enterobius vermicularis and cryptosporidium protozoan in appendix

Acute appendicitis caused by combined infection of Enterobius vermicularis and cryptosporidium protozoa in a normally looking appendix described. The patient is a 9-years-old immunocompetent boy who was admitted with acute abdomen and vomiting of one day duration. We believe that this is the first case in the literature that described such a combination. We report this case to increase the awareness of the physicians as well as the pathologists in diagnosing of cryptosporidiosis

Appendicular peritonitis

Fifty patients who underwent surgery for perforation of appendix were studied. Age of the patients ranged from 15 to 45 years. The disease manifested as localized peritonitis in 18 cases [36%] and as diffuse peritonitis in 32 cases [64%]. In all the patients, combination antibiotic therapy was used to combat aerobic and anaerobic organisms. There was no mortality in the localized peritonitis group while 3 patients with diffuse peritonitis died [6%]. Early I surgery is advisable in the cases of perforated appendices to reduce morbidity and mortality