Abstract
BackgroundAppendicitis is one of the most frequently encountered conditions at the emergency department. Distinction is made between complicated and uncomplicated appendicitis. Complicated appendicitis may cause serious intra-abdominal infection, bacteremia, or sepsis. Emergency health providers should be highly alert to any early signs indicating such complications.Case presentationWe present the case of a healthy young male with a gangrenous appendicitis, who received antibiotics and underwent appendectomy. Blood cultures showed unequivocal Staphylococcus aureus and concomitant Klebsiella pneumoniae bacteremia requiring prolonged antibiotic treatment and further diagnostic evaluation.ConclusionsAlthough rare, appendicitis can cause Staphylococcus aureus and Klebsiella pneumoniae bacteremia with extensive implications for workup and antibiotic management. Our case stresses the importance of obtaining cultures in patients with suspicion of bacteremia given its consequences for clinical management.
Highlights
Appendicitis is one of the most frequently encountered conditions at the emergency department
The pooled incidence of appendicitis ranges from 100 to 151 per 100.000 in Western countries, and the lifetime risk is reported to be around 7% [2, 3]
Surgical appendectomy and empiric antibiotics remain the foundation of treatment, more recently conservative therapy of uncomplicated appendicitis has become a valid alternative [4]
Summary
Appendicitis can cause Staphylococcus aureus and Klebsiella pneumoniae bacteremia with extensive implications for workup and antibiotic management.
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