BACKGROUND Torsion of an otherwise normal appendix vermiformis is exceedingly rare and usually presents with symptoms consistent with acute appendicitis. We present the unusual case of an infant girl who was admitted with right lower quadrant pain and focal peritonitis who was found to have appendiceal torsion on laparoscopy. CASE REPORT An 11-week-old girl was brought to the emergency depar...

BACKGROUND Heat shock is a potential control strategy for Legionella pneumophila in hot water plumbing systems. However, it is not consistently effective, with little understanding of its influence on the broader plumbing microbiome. Here, we employed a lab-scale recirculating hot water plumbing rig to compare the pre- and post-"heat shock" (i.e., 40 → 60 → 40 °C) microbiota at distal taps. In ...

BACKGROUND Lowering water heater temperature set points and using less drinking water are common approaches to conserving water and energy; yet, there are discrepancies in past literature regarding the effects of water heater temperature and water use patterns on the occurrence of opportunistic pathogens, in particular Legionella pneumophila. Our objective was to conduct a controlled, replicate...

Sivrioglu AK, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-220292 Description A 23-year-old man presented to the emergency service with abdominal pain. The ultrasound study showed an area with thick wall and internal air–fluid levels. Appendix vermiformis could not be distinguished as a dividual structure. Radiological appearance was thought to be periapendicular abscess due to the perforatio...

Objective. To study the peculiarities of antibiotics accumulation in appendix vermiformis after various methods their introduction.
 Materials and methods. The investigation was conducted 160 patients, to whom antibiotic introduced by methods: 53 – intramuscularly; 52
 intravenously; 55 lymphotropically. In part patients at 1 h preoperatively, rest 2 h. After performance appendectomy ...