Letter to the editor

Alvaro Montiel-Jarquín   (2009-09-18 10:35)  Instituto Mexicano del Seguro Social

To the editor:

Letter to be considered for publication in the journal

The term chronic apendicitis remains uncertain, and is caused by multiple causes and divided more specifically into: chronic appendicitis, recurrent appendicitis and appendiceal colic pain, deppending this on its evolution and clinical presentation (1).
Mycobacterium tuberculosis is a bacilum that can cause tuberculosis in the vermiform appendix. Its diagnosis is made by histopathology with a Ziehl Nielssen stain in order to demostrate the presence of the bacilus in the studied tissue (2).
Regarding this article, we have the following points to be considered:
In the title, the word tubercular referers to an infection caused by the Mycobacterium tuberculosis bacillum but in this article, there is no way to demonstrate its aetiology because authors did not make the Ziehl Nielssen stain. With this, authors only demonstrate a granulomatous appendicitis instead of an apendicular tuberculosis (3).
The title in this case, must had been: Granulomatous - Unespecific inflamation of the vermifor appendix. A case report.

Bibliography:
1.- Montiel-Jarquín A, Gómez-Conde E, Reyes-Páramo P, Romero-Briones C, Mendoza-García A, García-Ramírez U. Apendicitis crónica. Caso clínico. Rev Med Inst Mex Seguro Soc 2008; 46 (4): 431-434.
2.- Tucker ON, Healy V, Jeffers M, Keane FB Granulomatous appendicitis Surgeon. 2003 Oct;1(5):286-9.
3.- Sanjay Gupta, Robin Kaushik, Amanjit Kaur, Ashok Kumar Attri Tubercular appendicitis – a case report. World Journal of Emergency Surgery 2006, 1:22 doi:10.1186/1749-7922-1-22.


Best regards

Miguel Ángel Pérez-Corro, Álvaro Montiel-Jarquín, Gonzalo Pérez-Chávez.
All from Instituto Mexicano del Seguro Social, and Departamento de Posgrado y estudios de Investigación, Benemérita Universidad Autónoma de Puebla, México.

Competing interests

None declared

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