Article Text

Unusual presentation of more common disease/injury
Eosinophilic acute appendicitis caused by Strongyloides stercoralis and Enterobius vermicularis in an HIV-positive patient
  1. Dennis Baroni Cruz,
  2. Bruno Kras Friedrisch,
  3. Vilmar Fontanive Junior,
  4. Vívian Wünderlich da Rocha
  1. Medicina, UNISC – Universidade de Santa Cruz do Sul, Santa Cruz do Sul – RS, Brazil
  1. Correspondence to Professor Dennis Baroni Cruz, debaroni{at}


A 29 year old female HIV-positive patient presented in emergency with acute right lower quadrant abdominal pain, fever, tenderness and positive Blumberg sign. Laboratorial tests revealed eosinophilia, anaemia and leukocytosis. She underwent exploratory laparotomy followed by appendectomy. The pathological analysis of the appendix revealed acute appendicitis, accentuated eosinophilia and infestation by Strongyloides stercoralis and Enterobius vermicularis. She did well after surgery and adequate treatment. To the authors’ knowledge, this is the first case of eosinophilic acute appendicitis caused by these two parasitic worms reported in the medical literature.

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  • Competing interests None.

  • Patient consent Obtained.

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