Acute appendicitis as a complication of varicella

This article presents the case of a nine-year-old girl with an acute perforated appendicitis, which developed as a complication of varicella. Medical reviews describe only a few sporadic cases. Acute appendicitis in combination with virus infections typical for childhood represent a diagnostic problem. A virus infection, varicella-coster, cytomegalo, rubeola and rota leads to appendix wall edema, drainage weakening and opstruction which is followed by a bacterial superinfection, and the result is acute appendicitis. The diagnosis of varicella in our patient was based on epidemiological data, the clinical picture and disease evolution, while the diagnosis of acute appendicitis was based on the typical clinical picture with pains in the right lower abdomen quadrant and muscular defence rate vomitting, high body temperature, as well as leukocytosis and accelerated erythrocyte sedimentation. An appendectomy and abdomen drainage were perfomed. The postoperative procedure was normal with only one complication with the wound, which was healing per secundam. On the 14th post-operative day the patient was discharged from the hospital in good general condition with normal abdominal findings and regression of all clinical signs and varicella symptoms.