Abstract
Acute appendicitis is the leading cause of urgent surgery. Recently, there have been several case reports linking Comamonas, a globally distributed environmental bacterial species, to appendicitis. The patients described below were admitted through the emergency room of a second-level hospital unit in Guayaquil city, presenting symptoms consistent with acute abdomen and initially diagnosed with acute appendicitis prior to surgical intervention. In all cases, surgical or pediatric surgical services collected microbiological samples for further analysis, and the results are detailed below.
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