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J Clin Microbiol. 1988 December; 26(12): 2675-2677

Pseudoappendicitis caused by Plesiomonas shigelloides.

Institute of Hygiene and Microbiology, University of Würzburg, Federal Republic of Germany.

ABSTRACT

A 20-year-old patient was hospitalized with clinical signs of acute appendicitis. After surgery, the histological findings in the appendix and a lymphatic node suggested the diagnosis of pseudoappendicitis caused by Plesiomonas shigelloides, which was isolated in pure culture from the lymphatic node. The strain of P. shigelloides was found to elaborate a heat-stable toxin and harbored two plasmids of 280 and 4 kilobases. A large plasmid has previously been implicated as a virulence marker in P. shigelloides infections.

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