Structure and clinical features of patients with acute appendicitis in infectious hospital

The results of the analysis of medical records of 148 patients with acute appendicitis who were treated in the surgical departments of an infectious diseases hospital and in a general surgical hospital are presented. The patients were divided into 3 groups: I (main) — patients with a confirmed infectious disease, II (occult) — patients with excluded infectious disease, III (comparison group) — patients of a general surgical hospital. Patients treated in an infectious diseases hospital were admitted mainly within 24 hours from the onset of the disease, while patients with a general surgical profile — in the interval from 6 to 24 hours from the onset of symptoms. In the structure of morphological forms of acute appendicitis in infectious patients, gangrenous appendicitis prevailed, and phlegmonous appendicitis among general surgical patients. Peritonitis, which is the most frequent complication of acute appendicitis, was registered in group I in 53 (96,4 %) cases, in group II in 35 (71,4 %) cases, and in group III in 16 (36,4 %) cases, moreover, the patients of the infectious diseases hospital predominantly developed purulent forms, and the patients of the general surgical hospital developed serous peritonitis.