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Fungal appendicitis in a non-immunocompromised woman
  1. Kay Tai Choy1,
  2. Heng-Chin Chiam1 and
  3. Ibrahim Zardawi2
  1. 1 Department of Surgery, Cairns Hospital, Cairns North, Queensland, Australia
  2. 2 Pathology, Cairns Hospital, Cairns North, Queensland, Australia
  1. Correspondence to Dr Kay Tai Choy, kaytai.choy{at}


We describe a previously fit and well 54-year-old woman who presented with 3 weeks of right-sided lower abdominal pain with CT showing a non-specific thickening of the caecal/appendiceal wall. Although initially concerning for a neoplastic process, histology demonstrated yeast-like organisms colonising and invading into the appendiceal wall, confirming the diagnosis of fungal appendicitis. Fungal appendicitis is an important clinical entity that has previously been reported to affect immunocompromised individuals. Although uncommon among the non-immunocompromised individuals, it should not be neglected as a possible diagnosis in patients presented with non-specific abdominal pain.

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  • Contributors KTC prepared the manuscript and was the main author of the case. H-CC supervised the clinical care of the patient and provided overall supervision. IZ assisted in the pathological diagnosis, guiding the literature review and providing the histopathological images.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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